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HomeMy WebLinkAboutBuilding Permit 13. 0326 9 �1j1ti� . i P • • ••v . • 3 r ; , :ak .'' •e�OV, -,,..,_,-;-= \....- :. -.4.-----.= Cam�, i �r..E yy -74=k' 4 '� r rr ! - . c . , NO.r - • - S ri iri ! 7r9 � .� 0 !5�R �� : .: ' ... --. ":: � " '� __ I ,�, ��lr// Irn rrin � �Y \ a d Or J6 �..• rir l� r f •: r i f P, r . =ti � .. _ _ __ Iw .:J11W1 YI 1 1 N r'1' 6 .„00 J r \er rr * . H e , r e r r r•! A: r�.•. , ,,,, v go. .•.:••.•9r - ' l . t � 1111 111 ✓, 1 1 1 r Y r 1 rIVN , err rrrr f! errrr rrrr . l .... ♦ rrrr r v r R r..r r ! .r f . .•... a rrr •.• {••opk.. - -° _ - _ /IMr'f rr/lrr VOL: r r r J +Irrr f! 45i:fR: rrrr. f R M1r, .f♦ t r.r p � .r rrr ! rr r R rr.r f •P ••• . 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Expires te issued pursuant to the requirements of Section 110 of the D Residential / D International's Building Code certifying that at the time of issuance this structure was in compliance with the various Po ordinances of the City of Prior Lake regulating building construction or use. For the following: .,. ,..., s- _ Use I Classification SING' E FAMILY Bldg. Permit No. 13 —03? 5 4 R3 VN S Occupancy Type Type Construction PLID Y'' Zoning District 4 Legal Description L1, B4, .IEFFERS POND FIRST ADDITION _ ,, 1 ENCLAVE COURT NW Owner of Building Site Address . Contractor's Name &Address F t EoSTnNF FAM 1 I Y HOMFS ` ROBERT 1) , N(JTCH I NS ti, /if C Planner Building Official Date: ❑ Vd U� 1 L C J Date: � ,r ''3''''''.' \a a\ POST IN CONSPICUOUS SPICUOUS PLACE ^^..99 14 i �I q❑ 1 y l Vldo 1 .. I I 1 11! Nf 5 r 'fy + .. � "'N ,” I ll {t }': f I ( IIII yt �ll I ( II t II "' I s: III • . � �tl �� ';';AV, �� ��..j .. � b �, I III I :I � � IA I • , 8 � { �+�` II ad J d11 I In 4,, rI. u C . 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AND UTILITY CONNECTION PERMIT U <, -- - -- € . sue: 1+1 '��I 't 1 white File - ... B �'NE 2 Pink city. PERMI NO. Aligffd 3 Yellow Applicant (Please type or print and sign at bottom) \ ADDRESS ZONING (office use) ' f /tq 'n( 4.t t . Gd d'Ar 1 V 5 0 LEGAL DESCRIPTION (office use only) �y- 4 � r � r � y G •�;��� i / ^l LOT 1 BLOCK 7 ADDITION V� - (/'S p Q. M ' 1141 / PID L 5. 1 4 - .) i . 0 4 ; � , 0 OWNER ` y � G , Q (Name) / `t'2� 6 1,„ 4 - !" wt,, t1, H ►M � (Phone) 9.i p Yi1 — �c9 (Address) 17 f r l wvt , ' D + �� J iii Ale / ? Z �'//C 144 k ,� ,� p � scoyy BUILDER C u / ' (P hone) 9 CO? - 440 f gO " (Company Name) II 1 e BrgllnPMIFd L ^^�� // (Contact Name) ! 'r t- I . .....1 (Phone) f5 2 - .4G�- g ' f t� (Address) / 7 L'f 5- J(4,14 ul pAr tG S Gt ak or 4 4...4 IAr d ( viii .�3�' 0 7 4{ TYPE OF WORK ( Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace Addition ❑Alteration ['Utility Connection CODE:,R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ l6 T aa0 Division: 1 2 3 4 5 (excluding land) I hereby certify that 1 have furnished informati• on this application which is to the best of my knowledge tote and correct. 1 also certify that I am the owner or authorized agent for the above - mentioned property and that all coast ction will conform to all existing stale and local laws and will proceed in accordance with submitted plans 1 am aware that the building official can revoke this per i' . its Furthermore, I hereby agree that the city official or a design `Jmaa_y enter upon the property to perform needed inspections I lti /— S ir i l ure on t r' / ce se 3 // / 57-/3 C cost n No. Date Permit Valuation Z e7Z dist:20. ,_ Park Support Fee # $ Permit Fee $ L Cds, 5 , So SAC it $ —2--.4-.S. — Plan Check Fee $ I © O'Z .56 Water Meter Size D8 "; t "; $ 418°- „ State Surcharge $ ( 0 t , _ Pressure Reducer $ k l ©_ Penalty $ Sewer /Water Connection Fee # $ l Plumbing Permit Fee $ (S4 -so Water Tower Fee # $ k o _- Mechanical Permit Fee $ (.54 . SO Builder's Deposit $ Z Sewer & Water Permit Fee $r, fv. So Other $ 147/ Gas Fireplace Permit Fee $ 5 • p TOTAL DUE _ 1 3, ) $ I , 2 0 e. 4(aq This • "tic t ome tor Building Pennit When Appr •ed Paid // io�� Re tptNO. �� '(� %/ Date , /3. / ) B , / r 4/2z /3 ( Building 0 icial Dale This is to calif/ at the rc lest in h above application and accompanying docum nts is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed he City • ne t Antes a temporary Certificate of Zoning cam lance a d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued Ai. - i 6lv� _ 2.z. / Planning ' irector - Dat Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 - 4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist New Co structio for Single or Two - family Dwellings in R -'I or R -2 Districts Reviewed by: Date: 1+- ZZ- A Building Permit # PID: Zoning: (w 59 Address: t 4i 40 ,,:.N GL v G' i . Legal: L , B Subdivision: Existing Structure? YES 1, . Existing Nonconforming Structure? YES 1 N 2 • CONFORMS TO ZONING Y,,1 NO ORDINANCE 1 Yard Setbacks: NA 1 FAILS/ COlatlES 1 Standard Proposed • Front Yard (can be 20' if avg. wlin 150') 25' Z S • 3- • Side Yards Nor is N r 2V abutting a streets l 5.1 • 1.31+ -1•8(.0 1. j 4 • Sidewall exceeding 60' requires additional side 2" '10' setback + setback for every 1' over 60' in length. Not required 2 "11' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. • Rear Yard 25' To k • Patio Door: provide for minimum 10' deck or sign 10' side) statement indicating no deck will be built in the future 25' rear • From 100 year flood elevation of wetland /NURP 30' pond. • Refer in- ground pools to the Planning Department • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no less than 50' I Floor Area Ratio: NA 1 FAILS 1 COM PLIES .30 Maximum I POD I Yard Encroachments: * I FAILS 1COMPLIES 1 Standard I Proposed Eaves and Gutters no t&re than 2 feet in width and no closer than 5 feet to a lot line (Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservation: 6, FAILS 1 COMPLIES Standard I Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Rerr?oved . • • Calipiinches Preserved • R lacemeW 1.4:1 L : \TEMELzTE\BLD GLIST.D 0 C Driveway: NA / FAILS / COMPS • Standard Proposed • Maximum width at prope line, 24' 2 4 . 6 Required setback • 5' from side lot line or __ 30' from r -o -w on corner lots , 1. S • Maximum slope • 10% 6o , • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan v& Building Height: NA/ FAILS I COMP$ I 35' Maximum 1 PL-'v 2 I Shoreland District: NA1 FAILS / C*4.IES • Standard Proposed I Minimum lot area (square feet) `' __ 7,500 Rip, 7,999 Non -rip - Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations - -- Impervious surface 30% Maximum Pup Ste- Th (-6 g _ ntor-1662 � -t , Bluff in Shorelan f FAILS / COMPLIES Standard Proposed • Setback from ft5 of bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approves_ By City Engineer • Grading in bluff or bluff impact zone _ No importing /exporting • 1 ' Floodplain :;NA! FAILS 1 COMPLIES Standard Proposed • 100 year flood elevation 908.9' Prior Lake _ 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' Spring Lake • Proposed lowest floor elevation Must be 1' above flood • elevation for new and existing structures. If existing structure was constructed 9/19/90- 11122197 then _ additional foot is not required. • Elevations 15 feet from structure Must be flood elevation or higher • Road access must be no more than 2 feet below 907.9' for Prior Lake Regulatory Flood Protection Elevation 913.4' for Spring Lake Accessory Structure: "NA/ FAILS 1 COMPL IES _ Standard Proposed • Size `' _ 1000 sq.ft. or 30% rear yard • Not located in front yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height -- 15' • Materials compatible with principle structure L: \TEMPLATE\BLDGLIST.DOC 4 PRIp?? u t, } �' White - Building Canary - Engineering ""LANES °� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT PEWS/`/ APPLICATION RECEIVED 4- / ( /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4 &VC /We er Accepted t_ Accepted With Corrections Denied / / / . Reviewed By: A__ A W —„_Date: Z7.-/3 Comments: (- Ga'`'L -67 S7u‘) /10y/t-r7 ( i✓ )eu S ,a_ 4.____ 4.4____ 4-1 "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." O PRIC e _ U rrr White - Building Canary - Engineering NNEso P Pink - Planning 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: Accepted Accepted With Corrections Denied ,% / / ' Reviewed By: , Date: f '_- 7> 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." (;..- PRIp� White - Building Canary - Engineering ^'`NNEsov'. Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /6,' )" , '? APPLICATION RECEIVED °) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4 -1 4-' r , fr ,, 1 , /( 11- Accepted K Accepted With Corrections Denied Reviewed By: inItS Date: 9-2 2 -13 Comments: See Reverse Side for Additional Informal See Attachments: 1) Grading Plan, 2) Erosion Control Standards "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." • • CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address p 4,vNe' ,P.€q' 2 //h l' /v Lot Area VT Z Sq. Feet x 30% = ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE 9 DETACHED BLDGS x (Garage /Shed) x TOTAL DETACHED BUILDINGS /U/4 DRIVEWAY/PAVED AREAS x = 7DD • (Driveway -paved or not) x = (Sidewal arking Areas) x = c/ TOTAL PAVED AREAS 7S 7 PATIOS/PORCHES/DECKS x = fC /i97?' (Open Decks'' 'A" min. opening between x = n boards, with a pervious surface below, �/ g4�0 //5 t2za, are not considered to be impervious) (1 X = /U/2(/1 TOTAL DECKS 2 / OTHER x = x = TOTAL OTHER N TOTAL IMPERVIOUS SURFACE Z¢/ UNDE OVER I74/ 1 Prepared By 7p /A- / f/ei S Date Company 4'4-e- 6l,(A 2la,G /4/6.. Phone #(137.1) 0Z - 3add PR 61 -1'�5 67Ne o CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT 6O , /V /3 t\r O '. . Green Gr P City PERMIT NO. /g , ,e, 26 2 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 14240 ENCLAVE CT NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER } (Name) i —P. \'c k oil_ Vcx Y \ %U )"101`WLS (Phone) q ' - &CO. (Address) 1 WI , uirl i go f- - L K 7' j (,,a v i lit_ �1 n 5 509y APPLICANT ( n 1 ` (Name) ( 1► n L � t \Cj-f'∎ . f (Phone) '�34 T1"1 ' . (Address) 1 P' 1 l R bQXGL t ' .5. NE Hoxnl Lock t- n1n 5530 t (Address) (City) (Zip Code) (Contact Person) LBA:C,k— k- L0 (Phone) 113_ r �"li - -3 '75a APPLICANT SIGNATURE v DATE Le/6'M APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS 1 FURNACE MAKE AND MODEL k�r1o..1* .'' .'' j�S -, VosI�' FUEL Up0T l 7 A 5 FLUE SIZE RETURN OPENINGS INPUT OUTPUT En = I v J TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. E] Mechanical ❑ Radiation Fireplaces with Box Additions or Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings EVent. System ❑ Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 OrJ Estimated Cost $ g Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid RecceiptNoo. 1Z,0 WITH Date BUIL .6 PERMIT Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 1 4 TRIO CITY OF PRIOR LAKE Date Recd ;; ` ' HEATING /AIR CONDITIONING /FIREPLACE PERM k,1 LA 13 4111MTESe t . Pia File PERMIT NO, 2. Green City 13 _ozb 1. Yell Applicant (Please type ar print and sign at bottom) ADDRESS ZONING oft.) I (4 Z q 0 En Glcwe Cou r f Piish 1 LEGAL DESCRIPTION (office use only) _ 1 LOT ( BLOCK � ADDITION -7 y- P / zA L.hw PID 25 1/37- 043 • OWNER (Name) (Phone) (Address) • APPLICANT I _ (Name) Ft ( ,Sl C- v i� '- �1 e (Phone) V �J (- 6 j - -�' 3 ( 2 (Address) Z 7 O crit. (+.A. ...) ,h `FAS eu2 ((Q SSr C 3 (Address) (City) (Zip Code) (Contact Person) (o ' i C.2 6 s. (Phone) 65'1_ — 6 3� r 3 7 t E APPLICANT SIGNATURE ��/ r DATE 3 APPLICANT PLEASE COMPLETE BELOW TAW CONSTRUCTION ❑ REPLACEMENT El ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner [Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Rot Water into Required Side Yard Setbacks. ❑ Ivlechanical ❑ Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑ Special Devices ❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL 3 L - 5 5 6 T. - L ei- E FEE SCHEDULE Industrial, Commercial & Multi Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ t ) Z t i 5 Building Permit # The Minnesota Statutes § 32613.148 "SURCHARGE" has been Changed for one HEATING PERMIT PEE $ year effective STATE SURCHARGE $ S0 July i, 630. until June 30, VII 1. TOTAL PERMIT FEE $ T he minimum surcharge for n 'fixed fee" permit is L'., beginning.liily 1.21110 . (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date /q1® Building Official Date yy ' ��� • ■ 24 hour notice for all inspections (952) 447 -9650, fax (952) 4SL.6J!lyl PER MIT 4646 Dakota Street S.E., Prior Lake, MVlinnesota 55372 fbfl Os PR /04, t, Date Rec'd CITY OF PRIOR LAKE /r �3 SEWER AND WATER PERMIT 4 re , s 7 k ivEs o t. Gran File 2. P NO. /3 � 3. Gold A 6cant J t Gold Airy (Please type or print and sign at bottom) vc ADDRESS 14240 Enclave Court, Prior Lake, MN ZONING (office use) LEGAL DESCRIPTION (office use only) LOT I BLOCK ADDITIONJ'el4 vs d ' PID c 5 3T— O3— OWNER (Name) FieldStone Homes (Phone) 952 -469 -8800 (Address) _17645 Juniper Path Ste # 135, Lakeville, MN 55044 (Address) (City) (Zip Code) APPLICANT (Name) Minnesota Dirt Works, Inc. (Phone) 952-955-8118 (Address) 2500 W County Rd 42, Ste # 105, Burnsville, MN 55337 (Address) (City) (Zip Code) (Contact Person) Tom Bermel (Phone) 952- 955 -8118 APPLICANT SIGNATURE e `jc DATE 8/13/2013 APPLICANT PLEASE COMPLETE BELOW Size of water service \ inches. Location of any couplings from structure feet. Type of sewer pipe. f ABC PVC n Cast Iron Estimated length of sewer line 50 feet. Clean out (if required) located at feet from structure. • FEE SCHEDULE Residential sewer and water line connection $5I.50 Industrial, Com'1 & Multi- family I% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ 51.50 Building Permit # SEWER AND WATER PERMIT FEE $ 51.50 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 52.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PAPfJ T Buildine Official Date t 7 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 pgf Date Rec'd �� CITY OF PRIOR LAKE PLUMBING PERMIT gs °�� I. Blue File ?. Gold City PERMIT NO . s r- d 31 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) evict A✓'e LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER � ` C (Name) rlt` �� wt �D�1lwi �`f 0/3kAA-t a (Phone) (Address) APPLICANT D /� (Phone) 6 S1' a a - �' s (Name) � \ S� �- T' U �� d� �, It( hone (Address) ; j C.6 \ 'f■ k'N \sfik iu ( LAAA, %L) 3 3 (Address) (City) (Zip Code) (Contact Person) Z- (Phone) GS aN g --7(07C APPLICANT SIGNATURE 61/91 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended t $ Building Permit # W1 The minimum surcharge for a PLUMBING PERMIT FEE $ BUILD G PERMIT "fixed fee" permit is $5.00 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • rRio ti Builders Deposit U soo City of Prior Lake A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $2,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. 7 DATE: 1 1— " 1 ) SITE ADDRESS: /7/� 4 — , • - PERMIT # 13, L3/(0 Kt /Ave REFUND TO BE MAILED TO: L /// dl j s It I ( ,P S u /4 f $ 144 Pk 5•<( yy AUTHOtIZATION TO RELEASE PLEASE REMEMBER 2� .S . C ynda S Allen, Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION f " " i3 A ��t. 801.20204 2. KEEP EROSION CONTROL IN PLACE Date 3. TEMPORARY OCCUPANCY PERMIT MU NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: 10148 CASTLE ROCK BANK l % A. CASTLE ROCK, MN FARMINGTON, MN (2=== Fieldstone Family Homes, Inc. �``•_ �'•. 55010 55024 17645 Juniper Path, Suite 135 ( gas � 1 (651) 463 -4014 Lakeville, MN 55044 75 - 1314 - 919 Phone: 952-469-8800 Fax: 952-469-8803 ay: * * * * * * * * * * ** *Eleven thousand two hundred ninety -four dollars and 08 cents ° DATE CHECK NO. AMOUNT May 9, 2013 10148 $ * * ** *11,294.08 PAY ) THE II RDER City of Prior Lake OF 4646 Dakota Street S.E Prior Lake, MN 55372 AUTHORIZED SI ATURE 0010 11° 1:09 L9 L3L481: 23 LL 2070 L" J:IFORMSIBUILDERS DEPOSIT FORM.DOC PRIOR LAKE DF .PARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1 ` � 1 �fl �NG��vC �► � '` } NATURE OF WORK se-i.> c- . • USE OF BUILDING I ivrv��� PERMIT NO. j3.3 DATE , ISSUED 44.z /3 CONTRACTOR I,Los F 1 1 1 S PHONE G152_ . INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING , se o �� T7t (o -')'h_ in) rToBackJill ` FOUNDATION (Prior ) �/ RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC -rk FRAMING [ `' INSULATION tp-i1 - O ELECTRICAL PLUMBING HEATING la FIREPLACE GAS LINE AIR TEST /l'l RADON RETARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH [ -'�' -r' c FINALS GRADING ( PRIOR TO DDING) G t� i ' g 3 BUILDING �j�e,.�p �� 1 1 1 ELECTRICAL V _ PLUMBING 14 “,4 ti). - ! 3 HEATING 81(3 r3 DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNS 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. FOR ALL INSPECTIONS (952) 447 -9850 i { i