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�` CITY O PRIOR LAKE = :::: ::
artmrnf of uiI.MM us rrfir
� '_ ' Final Permitted ❑ C onditional C.O. Expires �_ `'
P
, ', This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International .
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: ''
��'
� "' F 13 -0737 --
, Use Classification S I N G L FA MILY Bldg. Permit No. = -:_♦
- TM ; R3 VN PUD
Occupancy Type Type Construction Zoning District
Y� 1 B1, JEFFERS POND SFCOND ADDITION
�'
Leal Description
(+ 3915 TRAIL POINT COURT ,
Owner of Building Site Address
11 Ti
Contractor's Name & Address R YLAND HOMFS . , '*
� �'' ' ' ROBERT D , HUTCH I NS k � ''
, City Planner '
'� Bu' ding Official
liSil 1 3d ( 3 Date: ;!
`
' : Date:
UPI, CONSPICUOUS PLACE
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li
OF PRIJR
0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / -
.. AND UTILITY CONNECTION PERMIT (�
iv,
�'N H�so�° I. white Fite PERMIT NO . 3
2 Pink City
3 Yellow Applicant /3 i /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
J ��' WI '
00 ��(�� PeE9
LEGAL DESCRIPTION (office use only)
/( t
LOT (BLOCK -.1-- ADDITIO Z" - 463 od 0
OWNER
(Name) (Phone)
(Address)
BUILDER 'A ` M (�'� P /l��0
(Company Name) tk L ,07eS (Phone) 'l 3 °� l
(Contact Name) b_ �1610 E' %L., (Phone) o � 1s•a-- ` �"D'� (0 0- -'
(Address) � S 67 i , - c � / r ' Y , - 4ej ` v �i'� ► ► M 1 M L E
TYPE OF WORINew Construction ❑Deck DPorch DRe- Roofing ORe- Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration DUtility Connection
CODE:I.R.C. ❑I.B.C. 0 Misc. J� y �
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 130 CJCD
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
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
above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can re Ak e this permits just cat • Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed 1 peons. 1,3
Signature Contractor's License No. Date
Permit Valuation 477 000 = Park Support Fee # $ - --
Permit Fee $ 1 //0 7‘ 0 SAC # $ i S . C) 6
Plan Check Fee $ / / 09 t e Water Meter Size 5/8 "; I "; $ 1Z U C
State Surcharge $ /04 Pressure Reducer $ /.5 OD
Penalty $ - — Sewer /Water Connection Fee # $ /:5 . J
Plumbing Permit Fee $ , 6 -O Water Tower Fee # $ /600- d O
Mechanical Permit Fee $ 4.S-4.-C-61 Builder's Deposit $ 7 -61'0. 06
Sewer & Water Permit Fee $ 5 6,, c2) Other $ J
Gas Fireplace Permit Fee I $ 54.. ` J TOTAL DUE 4 ...16/ 7,/61,3 $ /1, ,/tom- � W
This : , . icat on Becomes Your Building Permit When Approved Paid eceipt No. �p q
� � A Date '7, i/, /7 ........
- :V∎ine oft! 'ai Date
This is to certify that th • request n the above application and accompanying docu ents i n accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b t e 1 1 Plann constitutes a temporary Certificate of Zoning co pliant ' and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued ,
�t•�rL 1 :r. 1 3
Planning Director ,ii ate 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 Construe ion for Single or Two-family Dwellings in R-1 or R -2 Districts
i
Reviewed by:
A) i i il S
- Date:
Building Permit# PID: Zo ing:
Address: �7 2 (f „ ( --) (1.-
Legal: L , B Subdivision:
•
•
Existing Structure? YES I NO . Existing Nonconforming Structure? YES 1 NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NA I FAILS! COMPLIES Standard Proposed
• Front Yard (can be 20' if avg. wlin 150') 25 '
• Side Yards ,%ro ( � t. 5
' t
�-
25' if abutting a street '7
. to , `A k
• 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.
-
O Rear Yard - 25' - .2. 3. - --
a Patio Door: provide for minimum '10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear
o From 100 year flood elevation of wetland /NURP -
pond. t 1
• Refer in- ground pools to the Planning Department G J hc 646 ` I f.
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no
less than 50'
1 Floor Area Ratio: NA I FAILS I COMPLIES I .30 Maximum LI ' I .
Yard Encroachments: NA / FAILS /COMPLIES • • • I " ( -'
Eaves and Gutters no more than 2 feet in width and no
Y�
closer than 5 feet to a lot line (Easements). Side
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: NA I FAILS 1 COMPLIES Standard Proposed I
• Total caliper inches AY*
• Permit 35% Removal
• Caliper Inches Rer ?oved
• • Calip ?'inches Preserved
• Replaceme V Y:1
L : \TBMEt TE\BLDGLIST.DOC
Driveway: NAI FAILS /C0 'LI
Standard Proposed
•
Maximum width at prop: • ne
_ 24
O Required setback 5' from side lot line or
_ 30' from r -o -w on corner lots _.
• Maximum slope . 10% . !E—
• All parking areas to be paved including R -V or ,
spaces adjacent to the garage
• Location to match subdivision grading plan
Building Height: NAI FAILS I COM 35' Maximum 1 7
Shoreland District: NA! FAILS / CO= ES
Standard Proposed
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 s /M P 44
Bluff in Shoreland: NAI FAILS / COMPLIES Standard 1 Proposed
• Setback from top of bluff By planning dept,
•
• Bluff impact zone —
_ 20' From Top of Bluff
• Engineering certification submitted /ap roved _ • By City Engineer
• Grading in bluff or bluff impact zone _ No importing /exporting .
Floodplain: NAI FAILS I 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
•
. , 9119/90- 11/22197 then
.,,.., fopt 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: NAI FAILS I COMPLIES Standard 1 1
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 : \TEMPLAI'E\BLD GLIST.D O C
PR/0
C)• , -,,,„, e
U Y -m
White - Building
Canary - Engineering
411^'NESdC 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:
) / ! * -- - 2 '2, (. s)." 7 (
Accepted ) ( Accepted With Corrections
Denied
Reviewed By: /1 Date: t - / -/3
Comments: See Reverse Side for Additional Information!
Nom- E 0. / Eie «.3°
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."
r pR.76�
, _ `r' ildin
White - Building
Canary - Engineering
' Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 4i197 71?) 7v1-
APPLICATION RECEIVED (D `
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ -- 77&9 7 /6
Accepted Accepted With Corrections >
Denied
Reviewed By: �
\ Date: 0
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."
O4 PRIp
ti 'Y
U f, r x n
White - Building
Canary - Engineering
"'INNeso� 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:
r
Accepted V" Accepted With Corrections
Denied
I .
Reviewed By: i _ t
a _
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 Date Rec' d
A,: CITY OF PRIOR LAKE PLUMBING PERMIT „,,,„4,,
.ats
4t IlVrYEso °
I. Blue File 2. Gold City PERMIT NO. i3_ 0737
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS j '' . � ZONING (office use) et:
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) RYLAND (Phone) 952-229-6000
(Address) 7599 ANAGRAM DRIVE EDEN PRAIRIE, MN 55344
APPLICANT
(Name) GENZ RYAN (Phone) 952-767-1000
(Address) 2200 W HIGHWAY 13 BURNSVILLE 55337
(Address) (City) (Zip Code)
(Contact Person) LONI PETERSON (Phone) 952-767-1000
APPLICANT SIGNATURE DATE
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 § 326f3.148 The $ Building Permit #
"SURCHARGE” has been changed for one
year effective PLUMBING PERMIT FEE $
duty 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $
is 5, beginning .July. 1, 2010
TMs 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
4 v RI CITY OF PRIOR LAKE Date Rec'd
HEA'T'ING /AIR CONDITIONING /FIREPLACE PERMIT
4, i L Pink Fite
NNES O 2. omen coy PERMIT NO. r%3 .. C 73 7
a. Yellow Applieuit
(PIease type or print and sign at bottom)
ADDRESS ZONING ((accuse)
39A rR.N>.■ 1MTCT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER _
(Name) 'N' e (1-E'PNN 13D2,6i1 LG l M (Phone)
(Address)
APPLICANT,-
(Name) /<-1 Z. Ry 0...+7 (Phone) IC 2. -7 127' f C7
(Address) 2 220 c 03 -k -- \- - t ) 3 --- 61/lp_asv LLI 5:c33
„_,(Address) (City) (Zip Code)
(Contact Person) . D 0 \ ET EF--,. 6 (Phone) 7 $."` 7 4 7^ 1 b
APPLICANT SIGNATURE 6 - Y\j- y :A nn DATE - 7 " /3
APPLICANT PLEASE COMPLETE BELOW
*iEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL C A g72-! i2 sc,sc 2 6 06 i "7 FUEL 11 Pei' G Pc S
FLUE SIZE RETURN OPENINGS 3 INPUT CO) 00 0 OUTPUT,.S -
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants El Steam PLEASE NOTE: Air Conditioner
❑Gravity ID Hot Water
Dnits and Fireplaces Cannot Encroach
Mechanical ❑ Radiation into Required Side Yard Setbacks.
[Air Conditioning CI Special Devices Fireplaces with Box Additions or
EVent. System ID Other Devices '...., Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi - Family I% 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
1y Q *A
The Minnesota Statutes § 3268.148 lost $ 3 ° 1 � Building Permit #
"SURCHARGE" has been extended PAID WITH
until June 30, 2013, HEATING PERMIT FEE $ BUILDING PERMIT
The minimum surcharge for a STATE SURCHARGE $ .50
"fixed fee" permit is $5.00 TOTAL PERMIT FEE $
This Application Becomes Your Building Perxnit When Approved ' Paid Receipt No.
Date By
Building OM NI Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
?Rio Date Reed �. A � CITY OF PRIOR LAKE PLUMBING PERMIT
4 'Am rrse -
I B'" °"` PERMIT NO.
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3 IS TR Act L. Po 1T C1-
LEGAL DESCRIPTION (office use only)
LOT 4 BLOCK ADDITION PM
OWNER
(Name) 3 k M ¶ G i , Bbe..S k} E1 ti (Phone)
(Address)
APPLICANT . DD ^.1
(Name) T C-+yZ '[�-\i t� (Phone) a - 7 ((2 - , ()CC)
(Address) 2 \A) 04,3k 13 �_....� � Vk.� q I Li-- E -_ -55 331
(Address) (City) (Zip Code)
(Contact Person) 1 P —rte -SoM (Phone) 1 Q 7 LQ 1 1000
APPLICANT SIGNATURE I DATE - 1 - a 5 r •
APPLICANT PLEASE COMPLETE B ELOW
Quantity Type of Fixture , Quantity Type of Fixture
2. Bath Tub with or without shower 4 Rough -ins
/ Dishwasher i _ Water Heater
Floor Drain _ Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
_ Laundry Tray (1 or 2 compartment sink _ Sewage Ejector
2. Shower Stall Backflow Assembly
1 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
_ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi - family 1% of job cost with a 549.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations 249.50
lib
The Minnesota Statutes § 326B.14R ast $ ��aS Building Permit # PAID WITH
" SURCHARGE " has been changed lbrotte r p PAID YVITH
year effective PLUMB 1
ING PERMIT FEE $ 1 `IQ i BUILDING PERMIT
July i, 2010, until .June 30, 2411. STATE SURCHARGE $ 0
The minimum surcharge fore "fixed fee" permit TOTAL PERMIT FEE S V 1{ , Si?
is Si, beginning duty 1, 2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Ruildina Official Date
24 hour notice for all inspections (952)447 fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
yR10 CITY OF PRIOR LAKE Date Rec d
fi ' ' HEATING /AIR CONDITIONING /FIREPLACE PERMIT
•
H : Rw ~t[ ya��i� x • .
UI
411hrtvESa'C I. Pink File PERMIT NO . j}
2. Green City /3 _0737
' 1. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3915 TRAIL POINT CT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
( O N E � RYLAND HOMES (Phone) 952 - 229 -6000
(Address) 7599 ANAGRAM DRIVE, EDEN PRAIRIE, MN 55344
APPLICANT
(Name) GENZ RYAN (Phone) 952 767 - 1000
(Address) 2200 W HWY 13 BURNSVILLE 55337
(Address) (City) (Zip Code)
(Contact Person)
LONI PETERSON (Phone) 952 10 0 0
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
®NEW CONSTRUCTION ❑ REPLACEMENT ❑ 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 ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ 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
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 $ Building Permit #
PAIDIANITKatutes § 326B.148 .
�t� rte, ' hanged liyr one
HEATING PERMIT FEE $ BUILDIN �' l ,
STATE SURCHARGE $ .50 July 1, 2,i) 10. until .) tine 30, 2011.
TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fce" permit
(Office Use Only) is y.S beginning Judy 1, 2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Baildine Official Date •
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
I Date Rec'd
LL � � � k " CITY OF PRIOR LAKE
`" SEWER AND WATER PERMIT 7 iq, /3
4-1 /NATESO
1 . Green File PERMIT NO l��{ /'
2 Yellow City
3. Gold Applicant I i
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
yi_r 7z9/2_, gs- e7.' LEGAL DESCRIPTION (office use only)
1 , n ,
LOT .BLOCK J ADDITION e j l't t A 1 iv b / N AiPID r,77::: V `J5
- 0
OWNER /€ Y /Am ..�
(Name) (Phone)
(Address)
(Address) (City) (Zip Code) APPLICANT c.J. S. / "/ ' Gk G M7144, /4'c: ` (Phone) / , s'/ 7 gQ /3
(Address) Z' 9, ctnri+ifi2/S 4s, delsalPYiks SSo23
(Address) f (City) (Zip Code)
(Contact Person) /J (( �� i /i� 4. , / (Phone) '/ 2 9/9 «3 r
APPLICANT SIGNATURE U� /� DATE 9
APPLICANT PLEASE COMPLETE BELOW
Size of water service J ' inches.
Location of any couplings from structu feet.
Type of sewer pipe. ❑ ABC PVC ❑ Cast Iron
Estimated length of sewer line eet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'l & Multi- family 1% of job cost with a $51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
1►Ylfl"1
Date BUILDING FRS
Buildin¢ Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
80 0,. 4
Builders Deposit
4-4N„,Esoiy. .., 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. n,,
DATE: �'j' -- SITE ADDRESS: 3 I ` J c_5 U T C O ERMIT # t3 .. 7 3 7
REFUND TO BE MAILED TO: qtjloi A Y\( ' nAi\ L '" Y (V`Q_--
A UTHORIZATION TO RELEASE
PLEASE REMEMBER
42's -o w
Lynda S lien, Building Services
1. KEEP STREETS CLEAN DURING CONSTRUCTION L Z /? Acct. 80 20204
2. KEEP EROSION CONTROL IN PLACE Date
3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED
• SIGNATURE: ' • 6 ! i
AC d, THE RYLAND GROUP INC.
- ms } r, 4x11 t , "-1 1 �.7 'i , .. - >. ? I, J�( ., -
• 4,
�
JPMORGAN CHASE BANK, N.A. i 1 :0 i ._. ` .16
RYLAND HOMES TWIN CITI S CD , COLUMBUS, OHIO
I '+, r ,, z - 7599 ANAGRA " D,• E I ,
di 56- 1544 -441
7/10/2013
. . EDEN PRAIRI 9 .. x , 3 r _
R
kV TO THE ER OF City Of Prior Lake $ **11,516.88
e
Eleven Thousand Five Hundred Sixteen and 88 /100** **** DOLLARS z,
4646 Dakota St SE S CHECKS NOT VALID OVER $50,000
�
Prior Lake, MN 55372 ; j ` ' t t� ,:,f g� - w
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DEPOSIT FORM.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 39/6 7 1 / a k ', & e-OU/a1
NATURE OF WORK 6' b • • _ No kAcii
USE OF BUILDING5g41' irk /�.►_�'11r1%'... . 4 0 L F ii� w /F4t°
PERMIT NO. DAT: ISSU D
CONTRACTOR f I7 .�' z, t Az PHONE 45a. �2g lv D00
INSTALL EROSI �� CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR f ATE
FOOTING ;,JCC r%� 7/4/(3
FOUNDATION (Prior To Backfill)
RADON RETARDER '' s,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC
FRAMING
INSULATION o
ELECTRICAL
PLUMBING
HEATING
FIREPLACE
GAS LINE AIR TEST 4��'' \erwk4 --c 1 % T i 2
RADON RETARDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP bp LATH j
FINALS
GRADING ( PRIOR T SODDING Oj fj •
BUI�_DING 1 iI i �Q ' �c4) 1 3� r3
ELECTRICAL /
PLUMBING N?
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEE ' 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.
FOR ALL INSPECTIONS (952) 447 -9850