HomeMy WebLinkAboutBuilding 07-0352
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rcc'd
S. /4-,07
I. Whit. Fil.
2. Pink City
) Yellow Applictnl
I PERMIT NO. c7. o3S~ I
tJ/J-Td tuESI
ZONING (office IIIC)
1</sD
LEGAL DESCRIPTION (office use only)
LOT I 6 BLOCK 3 ADDITION ...kW
I
VCU..-0
{~
~.
PID ~S. {tf'J.. oS+..O
OWNER
(Name) P.4T A,Il)t"~~ ~
(Address) I 5' f.J? 31
(Phone) Qs-2..-'{ \.fO .- ~7SCj
'J..crc+ wt So T
BUILDER. /J _
(Company Name) LdL.L.t6--E Cl ':.J l2:C-...'Y\o\;:>B....; rGG-
(Contact Name) k AT~ t+Atl'\ i3L~,t..7
(Address) I ~l"ll"-LE ~uJb LftK.i2 'lL
(phone) <157... -"1~'1'-8c1 S,-cf
(Phone) 0s:? -4:"4 -KCJ S'~
D
TYPE OF WORK. 0 New Construction DDeck OPorch ORe-Rooting ORe-Siding DLower Level Fimsh 0 Fireplace
DAddition ~teration OUtility Connection 0 Misc.
~y .\<-\\"U'iE:.u~-mo1'.::se.L- "'/c-
CODE: Il::)L.R.C. DI.B.C. PROJECTCOST/VALUE S ~CI. (JOG
Type of Construction: I n ill IV V A B (excluding land) .
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hcn:by certify that I haw furnished Information on this application which is to the best of my knowledge uue and corm:l. I also certify that I am the OwnL'!' o( authlll'lZL-d agent for the
abow.menboned properlY and that aU consuuction will conform to aU exislilll state and local laws and will proceed in accordance with submitted plans. I am aware that the buildin8
official c ' permit for just cause, Furthermore, I hereby a8lft that the CIlY official or a desisnee may enter upon the property to perform needed Inspections.
~O <12>/'7/ 3 5(1t/O 7
. Signature Contractor's License No. Dare
Park Support Fee
SAC
#
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ (:1. C? 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size S/S"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
This Application Becomes Your BuilclinJ Permit Whm ApproYCcI
~~
BuildiRlI. Official
S-//t,/d 7
, Date {
$
$
S
$
S
$
$
S
$ 3(,,6>, ct,
silt, h, 7
. , Dale
nus IS to certify that the request in the above application and accompanyin8 documenlS is in accordance with the City Zooin8 Ordinance and may proceed as requL'StCd. This docuRlCftt
when sism-d by the City P1anner conslilutcs a temporuy Certificate of Zoning compliance and aUows consuuction to commence. Before occupancy, a CL't'tiftcale o(Occupancy must be
iss~ ~
Ptanin8 Direclcr
24 hour notice for all inspections (~2) 447-9850, fIX (~) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
White - Building
~ry : ~~~~g
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
'f;
Accepted
Accepted With Corrections ~
Denied
~~~
o.L( ~
Date: 5/1 Y ~ /
,
(b.&J1n~ ~ ~
.
Reviewed By:
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MLC~ ~~~u;;-
t1
5. 14, u7
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proRosed at:
/6&3/ ~{/~ al-V1t,~~ /11~
/ V'
Accepted
Accepted With Corrections
/
Denied
.-
Reviewed By:
Comtnts:
~
,
~~
~ cJ.{
~ ~_- J
Date: S-~ '-f /0 7
". ,
- 4- ,( g -, ----. ~~ . I L/ A/) J "--
~ P' ~ ~. ~~
"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 giv~ 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 PLUMBING PERMIT
S II () 7
~. ~~~w ~~~licant I PERMIT NO. 7. 3 ~z,
ADDRESS ZONING (office
15631 SKYLINE AVE NW use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name) GREEN RESIDENCE
I (Address)
(Phone)
APPLICANT
(Name) GENZ-RYAN
(Address) 2200 W HWY 13
(Address)
(Phone) 952-767-1000
BURNSVILLE
(City)
55337
(Zip Code)
APPLICANT SIGNATURE
(Phone)
952-767-1000
(Contact Person)
KIM RENVILLE
DATE
E COMPLETE BELOW
5/Js-!()7
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
1 Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray {lor 2 compartment sink Sewage Eiector
Shower Stall Backtlow Assembly
1 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 1 Other ICE MAKER LINE
FEE SCHEDULE
IndustriaL Commercial & Multi-family 1 % of job cost with a $39.50 minimum ResidentiaL New One & Two-family $99,50
Residential, Additions & Alterations $39,50
Estimated Cost $ 3000.00 Building Permit #
PLUMBING PERMIT FEE $ 39,50
STATE SURCHARGE $
TOT AL PERMiT FEE $ 40,00
PAID WITH
at9ILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl!: Official
Date
.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5ZIU7
~. ~~~o"w ~i~icanl I PERMIT NO. 7. J SZ
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) GREEN RESIDENCE
(Phone)
(Address)
APPLICANT
(Name) GENZ-RYAN
(Phone) 952-767-1000
(Address)
2200 W HWY 13
(Address)
BURNSVILLE
(City)
(Phone) 952-767-1000
DATE 5/15/07
EASE COMPLETE BELOW
55337
(Zip Code)
(Contact Person) KIM RENVILLE
APPLICANT SIGNATURE
DNEW CONSTRUCTION o REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Residential, Heating & AlC (New Construction)
ResidentiaL Heating Only (Ncw Construction)
$39,50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 39,50
$
$ 40.00
PAID WITH
.50 BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Buildinl! Official
Date
.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS 15'(,'$.1 ~/~t..~. A.J.uJ.
NATURE OF WORK ~/'~1I1!)iJ ~1:~Q6'Z
USE OF BUILDING n~ .
PERMIT NO. 07. 0352 ~E ISSUED S. 4?
CONTRACTOR ~"Lt:.7f#t!" ~ ~./JR PHONE StI.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-.s
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
- ---- II
]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I J
FINALS
,... --- ---
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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.
It
FOR ALL INSPECTIONS (952) 447-9850