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Expires <I< xsr �' T his Certificate i ssued pursuant to the requ of Section 110 of the D Residential / D International ` .° Building Code certifying that at the time of issuance this structure was in compliance with the various (e ordinances of the City of Prior Lake regulating building construction or use. For the following: % , Use Classification S 1 NGLE FAMILY Bldg. Permit No. 13 -01 663 Occupancy Type Type Construction Zoning District „ - Legal Description s ■ i .! t t I 14376 PARKSIDE COURT ' Owner of Building Site Address 0 h tt p Contractor's Name &Address MATTAMY HOMES , ” ` ROBERT D, HUTCH' < City Planner 'or . ❑ Building Official 2 Date: • • r i� , • '4 /3 Date :$;ti POST IN CONSPICUOUS PLACE > I A 5 II 1r ; ; II . 1 y��� '', " PP I! 111:!: la. P I � U i...lu ;;!I � .7 'S I P;: " ' :1 gp " I P. Il . s• . p� II o ]III I� . , I, Ei ru .; j , f I I i 1p� �p� II � I I V ` II ' N M Y• P 1 r � M 4016 ''' ! t :' . 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O Lt o o O V a o o oo � = LLN 3 a u. -6 a 0 a 0000❑❑ 0 0 0❑ c �C ITY OF PRIOR LAKE BUILDING PERMIT, Date R.;-;'d _ TEMPORARY CERTIFICATE OF ZONIrG COMPLL��iCE c.) ez AND UTILITY CONNECTION PERMIT 2.25. 13 A .E S O S ee M F ile � ` I. File 2. Pinlc City L p ER HT NO. / 3 / C 3 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS (L (e VA YS t D €-- C O .JC 2 ZONING (office use) LEGAL DESCRIPTION (office use only) LOT2 BLOCK R ADDITION V }= S ✓V-- -1 1 2, 9 r,l i PID 2 -S - 4 - 1$ O 2-C, 0 OWNER (Name) i't P T - 1 t -1-4 U NI e._.S (Phone) g5 2 - `�) g 9 - 2t b (Address) - 12x31 W A S F-I t r,► t, ► t, A V E S S"t"E 2_c, i t =O t t- J 1-1 N S S 3 BOLDER (Company Name) M k Thr I v 4 +o t'` ES (Phone) 95 - 93 - 12e (Contact Name) S U E- (Phone) (Address) 120 t ti.. e C l4 lt-4 �l J Po. S ST- Z_) t > -O t tJ A, 1-11 SSA5 TYPE OF WORK 0 New Construction gl.Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: ,I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B 0-1- U b OU Occupancy Group: A B E F HI M R S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (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 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 revoke this permit forjust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X\S --. BL 2-1 53e)b 21 22-41 Signature Contractor's License No. Date Permit Valuation I CJ 19©0 .' Park Support Fee # $ + Permit Fee $ 1 383. So SAC # $ i4 3S. Plan Check Fee $ gq q .28 Water Meter Size 08 "; 1 "; $ 4 - State Surcharge $ -1 1 - SO Pressure Reducer $ " 6. - Penalty $ Sewer /Water Connection Fee # $ 15 co, - Plumbing Permit Fee $ (Sel. Co Water Tower Fee # 5 ( e0e - - Mechanical Permit Fee $ (54.t0 Builder's Deposit $ Z-500. - Sewer & Water Permit Fee 5 5-c7.5-0 Other r, R e ,./ r s 1 O $ is - O Gas Fireplace Permit Fee $ S d, S b TOTAL DUE $ I O t Q O l This Ap !' 'cation : e om s our Building Permit When Approved Paid o 5 �y � � � ceipt No. t/d U � ii L 5 /3 Date S�. /0, 1) Buildin Officia '��� Date This is to ce that quest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document n when sig¢ y the C . 1 er constitutes a temporary Certificate of Zo g ompliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 3 (3 Planning D tot- - Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ; Date Recd CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING CONIPLIANCE AND UTILITY CONNECTION PERMIT -SSINspek!" , , PERMIT NO. (3 , ((a) ? , g I .... 4pp 41■11? _ ZONING e,fsee L,se) 1 i ADDRESS 1 i( ------- t . 14 1 - 1( fAR14.506 eLL)zi l• i , , i i LEGAL DESCRIPTION (office use any) LOT BLOCK ADDITION PI D _ ----- 1 OWNER A i " Ai r° N -tm (Address) 120( Loci t i:i 6-6 tJt2 Ave C _- D ) NJ q 1 5 543 1_ 146g1DBir CONI - re.p, 4- ro 0 ,e--- --,, -, 27 (Company N -, ame) "r■ 14- e 0 pp 4.7 E.- s5 1 c, tsi DC V/GCS L.-L - i Phone) 1,95 - 7 – i(C g' (Contact Name) M gi .! ie..ellp E-z _________ (Phone; (Address) iii10 1;4171.53 AL. c_ige /y,a_) 5 /4 e", , ' -,x i Mni 65 _____ i TYPE OF WORK New Censtnierion 0Deck °Poch r ORe-Pcrofing 0Re-Stding tli,Lawer Lcve; Finish 0 Fseepiace g Addition 0Alteration ClUtilary Connection CODE:N4..R..C. 01.B.C. 0 Mir( Type of Construction I it IIIEV N AB 7 ,..22..k.c . OC, Occupanc Group: A IS E F H I M 11) S U cl PROJECT COSI /VALUE S Division: — 1 2 O..) 4 (excluding land) -- — I uerelry certify Isa: I have furnished inforrnaurn on thls amt.:anon to Mt be of my Ictlov.ic..to true end ''.-ocrec.: 1 a:so :crab' Mat I am rhe owner or auttscosrad agent for the abovt eroivery and that all curwtruAnvs wtt: confwm to IBI eitstIng trate and toast lass and wa; proceed m act:ordancr W.:il 1 b Mitred plan, : am aware tiUlt thr butictsrua raM.aa: r revoke :his perms fry j st cause unitcmmore 1 ilm-by aver Mat the cAry official or a dex.gnee may enter upon Me pro.perty to perform, necdt,.1 .nspmmons 4 11 . ' x If .04 _ILI .... A A A.A. ___________ C ''. I4 ' 1- 13 S lariat ruu ____— Cor,trec License No Date v —: — [ Valuation i 1 Park :::tircort Fee g S ---7 . — Permit Fee SAC a 5 5 ---- Plan Check Fee i , 1 WainMere: , ------, _ _ Sta — te Surcharge 5 $ Pressure Reituct: S ___--_--! 1 Penalty Sewer/Water Connec-non Fee a S i --, — — —. Plumbing Perna': Fee j $ Water Tower Fee a 5 Mechanical Permit Fee 5 1 Builder's Depos,i $ 1- . . Sewer dc Ps'ater Permit Fee 5 H Other Gas Ftrepl ._e Permit Fec – 1 4k :R . p a 0. ,.. 1 ,A . ... :44. „ 4drinsrav , - — or Building Permit When Approved FITald — _________ ! Receipt No ///4........ , Da te ',yr _ — 1 AID WITH . ■..,,,.I7 [ 11Clai al D re BUILDING PERMIT 1 71113 IS tO certify than the regner in the above anItcarrn and arcc.rnpanvtr.a 1ocuments 0 in accordance wttn Me C.r.. 2 artmz ord./rime and may p rocee d Li reque 11 d m ,r, when s.scsed t-f the Cns, Flanne consusures A Irn, rarArs CA11.15C4:t al Zooms anuptuence and aBows ‘ommucmon ti t;s3^Grnerwc Before D. a Certificate of °cc murt re : , usued 1 Cun ms f running ISrrrtn: .---- -------.67— Spec al mi i e,,, — 24 hvur nonce (or all 1113peCli0112 (95 turt (451 464t, not.ots Street 'S,E., Prior Lake, Minnesota 553": Cr PPJOR Builders Deposit City of Prior Lake A $1,500.00 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 130 days after the date the building permit is issued. if the work is not complete within the 130 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A `5500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing 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. DATE: SITE ADDRESS: , L 1 0 5 1.' 1 -e-S I D E Co U PERMIT # 43 . 143 REFUND TO BE MAILED TO: 2'ta; t I-tp - t20 1. W iticS 11 t (.m M/ S 5V t' Za 1 !—t hl SS PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED AUTHO Z TION TO RELEASE SIGNATURE: �� ! Sa . o0 Lynda S. A ifn Bui g Services Amount Acct. 801.20204 Dat C:\Docunients and SettingslsbarelLocal SettingstTemporary Internet Files\ Content .Outfook \BD80XI9AIBUILDERS DEPOSIT FORM.DOC PRI0R LAKE DEPARTMENT AND INSPECTION INSPECTION RECORD SITE ADDRESS k 3 F4t IA Cr NATURE OF WORK hoc . p>&c -‘c— tee. F N _ USE OF BUILDING ter - FAWL / PERMIT NO. t 1 DATE ISSUED 361 3 CONTRACTOR Vt - --Art t o 64 6 PHONE 9.5Z -818• ZI o0 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMEN - ., 4 t r-1 -� t U ��[L -c t 0.0 .6) �{ �{�� k t ! INSPECTOR DATE I FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 2o+-' ROUGH - INS SEWER / WATER / SEPTIC FRAMING t / e ? INSULATION 7i 9 / z1 ELECTRICAL PLUMBING PQ `21c3 HEATING (if required) elsIJ FIREPLACE ei el s" GAS LINE AIR TEST '' COVER IO WORK UNTIL ABOVE AS B X 72 SIGNED C=1 RE r dSS e6 Q 5 r FINIALS GRADING (Prior to Sodding) BUILDING 'ELECTRICAL PLUMBING E HEATING a 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. FOR ALL INSPECTIONS (952) 447 -9850