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HomeMy WebLinkAboutBuilding Permit 12. 1220 i C t ;� , a a� k e yy A � M"B /y MC '�. . , . C rfi fttafr of ®xtn nxc v : CITY OF PRIOR LAKE !iparfmruf of f uUU Mnj xnsprc iuxt /Final Permitted ❑ Conditional C.O. Expires v� ; s This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International K 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: Use Classification SINGLE F A M LLY Bldg. Permit No. 17-1720 Occupancy Type R3 Type Construction Zoning District R1$� Legal Description L7, B1, BERGGREN BEACH Owner of Building Site Address 4865 BEACH STREET N.E. > . Contractor's Name & Address J 1 B r , 0F I T T E R & ASSOC. 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White File 2 Pink City PERMIT NO /Z 2 20 . 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) tA t tiO S \ V 4K-a_C--fr .\'—1 v 6 £150 LEGAL DESCRIPTION (office use only) LOT BLOCK \ ADDITION :.ct •-... PID 5- x 0 OWNER I �� (Name) (Phone) C . . C't - ISb S _ i� � % �\ A � (Phone r -� (Address)f 0 " k 1 Ii of l V) � J ' 3 / ti-7‘ BUILDER pp / '' (Company Name) 11 UJC ( -4 v ' ` �\\ A. ( . (Phone) .1,l N o OE sO )13 (Contact Name) ' ► °Nm L( \ 1iL (Phone) (01 3(; 7SSS (Address) it Aek 10 D.K. ncy 4_1/(9 (itkv\ - 3 TYPE OF WORD ew Construction ALAsek ['Porch ❑Re- Roofing ❑Re- Siding .1 - • er Level Finish fireplace ['Addition ['Alteration ['Utility Connection CODE: ELR.C. ❑LB.C. ❑ Misc: Type of Construction: I II III IV V A B - >� Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ > C;., .., -.-x-...- 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 • •nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke .'s permit for jus cause. Fu.. - more, hereby agree at the city official or a designee may enter upon the pro erty to perform needed inspections. 1 t, X \ ,� _ . k s:,_ hi r -ate 0 i ),J( (1)1 . ignature t::ontractor's License No. Date Permit Valuation 4 DDO ' Park Support Fee # $ Permit Fee $ 31155.5° SAC # $ GC-C v 1 r Plan Check Fee $ 2 041.1% Water Meter Size 5/8 "; ", $f-,, c�©. State Surcharge $ 2-Z Pressure Reducer $ 1 (e Penalty $ Sewer /Water Connection Fee # $ GC{Ep It" Plumbing Permit Fee $ l 54‘.9-o Water Tower Fee # $ G (2-et) 1r Mechanical Permit Fee $ t 51-. 0 Builder's Deposit $ ( 5acy Sewer & Water Permit Fee $ Other r > , .50 Gas Fireplace Permit Fee $ �. 4.5 TOTAL DUE 9' ' 0 76 . z b I V This Ap . illation B:, mes . Building Permit When Appro ed Paid Z2 - 6715 .7. ' 7 7 Receipt No. , i ' � i� , Date I 1 -- By i . ■ i IlA_ /! Ze �Z- C uilding Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner cons ' utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ' / 2�11 �f t i( a - a Iree �Scrmw at �laSi t �e.t/ Planni - a irector Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9859, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 4 p4 PRIO 4 ' { CITY OF PRIOR LAKE Date Rec' d N DEMOLITION PERMIT 9 Z ¢, /L. 'LrrNNE (Z ' /Z Z0 PERMIT NO. `/ Z. (Please type or print and sign at bottom) 4865 ADDRESS " ZONING (office use) ere LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID Z6 , 4 i . O OZ 0 • (Name) R 0e4 G1 (gib d / 41 0 (Phone) 96 2 - klq 7 7 VOo (Address) Po box 7 U d ".../ 0 /'t.' i 7 - CONTRACTOR (Company Name) (Phone) (Contact Name) (Phone) (Address) Use of Building: INTERNATIONAL BUILDING CODE Type of Construction: I II 111V V AB Occupancy Group: A B E F H I MR S Division: 1 2 3 4 5 ly(MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION . • 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 proc ' accorda th submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby ee at the - - - - - 'son on the property to perform needed inspections. 4:_ y . 9 • Signature Date 1�IETRO(MCES) SzC. UNIT This A .. licati . Becomes Your Demoliti n - P er; t Mtn Approved Building 177 ate j `� 04123s-11-v3, This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. 7- 2 /,2 inning D tor Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 • 1 , • a A. • 04 PRto F U Memo so Date: Wednesday, November 13, 2013 To Janet Ringberg From: Lynda Allen Subject Building Permit #12 -1220 4865 Beach Street N.E. The memo authorizes the return of the $13,980.00 tree deposit on the above subject building permit. The work has been completed and approved by Jeff Matzke, City Planner (see attached). Please return the deposit to Dean Coddington 4865 Beach Street Prior Lake, Minnesota 55372 Thank you ynda S. Allen ., Poppler Building Services Assistant City Engineer Phone 952.447.9800 ✓ Fax 952.447.4245 / www.cityofpriorlake:com wn".n2..�.ys.:rA.,.,K.r ^x a..•.,. ,f'"�.r�:;r"x., :..- ,xw,.aw.+*ras:.. a -.esv .,...,.,.F ,r,-.r ca a- .... r�.arwar`r»H, .'Kt - a- v -. -R.. .K.. xa "''°' - r of PRIp� h C U C t71 White - Building � �� Canary - Engineering LANES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED {Y " ' i2----- The Budding, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , '�- r / '/ '.,-7 r/ �r-.- 1' - ., . Accepted, 2( Accepted With Corrections Denied Reviewed By: Date: `1— ,20—/e2 Comments: �- /ree rp��- c rmcw t" 4e row Depsri' R K;reai : 4 /3 fgel 4fafier;,„ i r a-te hee-Jel OA prefer / /'3 g in y "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." 01 Io4 ; H U k I White - Building Canary - Engineering 4f1 SO Pink - Planning ___} BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \J--- ' .'' 1 "v 6 II 0 . °+ 7 7)' , APPLICATION RECEIVED /6 /C . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (, /6Y/ 57)(ce,..-:::: ,At . Accepted Accepted With Cia recti ns Denied i i ______ L .? , Reviewed By: Date: t / Comments: See Reverse Side for Additional Information! 11(< 14 r,nce e ,z� / ./ See Attachm, DI 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." 04 PRI() A e White - Building Canary - Engineering `r'^NES °KP Pink - Planning ]BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Q. o rra2a APPLICATION RECEIVED /6. fl' 1 "Z_ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-g65 zw :s=ib` - i , 6. Accepted ' Accepted With Corrections Denied , Reviewed By: iarer'IM Date: 6 AT /Z,_ Comments: 62„5 /114 C c-4.v Ate- Z . 17 l 5GoNr rE -cg-- c.. 4-ti5 " r12-0 4$5 Sttev i4 65 z a-r 4 8G-5 Ad.t D 14e - To S I- A r NI . Gorz.,., 6 ri-- o F P1 "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." �� PRI � � Date Recd H 1 CITY OF PRIOR LAKE ri SEWER AND WATER PERMIT 1. 2. Green File PERMIT NO 2. Yellow City /�j� 3. Gold Applicant , • �� ( v (Please type or print and sign at bottom) ADDRESS ZONING (office use) c/ aD �-- -e, c 4 S LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) w vc.A) 'e / (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) G. A --e/ 'e n / /�' /' 1 d �/ (Phone) 'ail 7 — & ? / (Address) i 5S- 4S 22c 2/..- -r i 4-- 4/ 4.— 5s 72 (Address) (City) (Zip Code) (Contact Person) e -C C <C ' -- .er % (Phone) Co/ a' 41- 3 0 % APPLICANT SIGNATURE di / .M / DATE 5 ler 3 I " APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron Estimated length of sewer line feet. 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 co ction my $25.50 Water connection only $25.50 R�/�lra © ' Estimated Cost $ Buildin g Permit # /� w l^� 84 ® SEWER AND WATER PERMIT FEE $ - fez.— z STATE SURCHARGE $ .500 ( - TOTAL PERMIT FEE $ ('s7 y-72i iiz . ( Office Use Only) This Applica V Bee/ es ' ur Building Permit , en Approved Paid/0,40 Receipt No C a5 a D e / /573 /UMW B dine O >t a � 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 o VRro CITY OF PRIOR LAKE Date Reed v a HEATING/AIR CONDITIONING/FIREPLACE PERMIT �' i rd. 1 PERMIT NO. an20 3, Yellow Awake i (Please type or print and sign at bottom) ADDRESS ZONING (o Ice :e) H '3406 Sea. c V) S� r -b LEGAL DESCRIPTION (Mice use only) LOT BLOCK ADDITION PID OWNER [ \NOockf - *_ - er S 1 -LD 5 (Phone) (Address) Po Px . 1 r 2R APPCAN (Name jL4VJ I 0 . , * tir Ai ►r gP.h: e) LP 5 4 ' �� ' � (Address) 5 S 1�f51.1 � tf (P ill 15,,{ (/I� 55D4 , (Address) (City) (lap Code} (Contact Pctson) 11 4 VA (Pho , c) t!1' )/ — c�"�', 5 9 S 9 AP SIGNA tE ' & .i.... �, �. DATE — APPLICANT PLEASE COMPLETE : ELOW IhNEw CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS r NACE MAKE AND MODEL 1 ril l b M Li Ci ? 4-1 i P{p 1) mu, i +�r - E S IZE J 1 RETURN OPENINGS 13 INPUT t 3 , ( r) OUTPUT J?��, 5 � . E O F SYSTEM HEATING - OR POWER PLANT M= Air Plants PLEASE NOTE: Air Conditioner 0 Stearn Units and Fireplaces Cannot Encroach Gravity ' 0 Hot Water echanical Radiation into Required Side Yard Setbacks. Fireplaces with Box Additions or Air Conditioning O Special evices s Cantilevers to the Outside of Bulidln Ve nt. System ❑ Other Devices Require a Building Permit. PLACE MAKE AND MODEL N 1 A FEE SCHEDULE Industr Commercial & Multi- Family 1% ofjob cost Residential, Gas Fireplace $49.50 349.50 minimum Residential. Heating & A/C (New Construction) 3149.50 Residential, Additions & Alterations 349.50 Residential, Dealing Only (New Construction) 364.50 Residential, AC Only *49.50 S 1 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ r p ) * Kt" �Aa TOTAL PERMIT FEE $ SO 13"—°°° '7F'( (pence use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By building Metal Date 24 hour notice for all Inspections (952) 4479850, fax (952) 447.4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • 4 rRto� CITY OF PRIOR LAKE Date Rec'd IDEATING /AIR CONDITIONING/FIREPLACE PERMIT I-, v 4 'IMtesot r i G , 1 PERMIT NO. l _ /2....40 1 . Yams Ayylk.ui ease or . tint and si : . at bottom A DDRESS ZONING tom= .x) Li 8Cp5 - Bea c In 5 -c c • LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID [ OWN E R •: \N ` �J r C ). V a �' t I f " I `1 � (Phone) q 5' '" I -14 — D l 5C) (Address) 7 0 PJC y . 1 G 2- g ICAN . APPL (I�iame)A `V l (I 49 4 €I:4:h i j t- ( Phone ) 4051. 4c '1— 5r r1 (Address) ) 1 R , COY 4(31,(6 -C ( U V cu vcp j 0c, -c Y oiA (n 5506 g (Address) (City) (Zip Code) (Contact Person) 1 4 V---4:111 (Phone) . 6i — L+ P-3-- 5 r 5 r1 APPLICANT SIGNATURE .r.... rt, .i._ DATE 143/41 APPLICANT PLEASE COMPLETE BELOW fNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS i F UR N ACE MAKE AND MODEL I 11 C i G .• • MP FUEL Y l _ -T E:1 /.c%i— P LUI? SIZE 511 RETURN OPENINGS 13 INPUT q3 t b () Y) OUTPUT ?73 D TYP OF SYSTEM NT HEATING. OR POWER PLANT rm PLEASE NOTE: Air Conditioner D Wa Mr Plants 0 Steals Units and Fireplaces Cannot Encroach ❑Gravity ' - 0 Hot Water into Required Side Yard Setbacks. D echanical 0 Radiation Fireplaces with Box Additions or Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ► ^ +Vent. System ❑Oilier Devices Require a Building Permit. FIR EPLACE MAKE AND MODEL N / A • FEE SCHEDULE Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace S49.50 549.50 minimum Residential, Heating & A/C (New Construction) 5149.50 Residential, Additions & Alterations 549.50 Residential, Heating Only (New Construction) 564.50 Residential, AC Only S49.50 Estimated Cost S Building Permit # PAID HEATING PERMIT FEE S BUILDING PERMIT STATE SURCHARGE $ .50 • TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Dale . 241 tour notice for all inspections (952) 447 - 9550, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 r I CITY OF PRIOR LAKE Date Rec'd � 0 h -' ' , _ HEATING /AIR CONDITIONING/FIREPLACE PERMIT ' , rte 9 4'NNEso 1, Zen (le P ERMIT NO . Cneea city iZ- % 3. L Z 3. Yellow Applicant Please ty a or print and sign at bottom) ADDRESS ZONING (office use) L /26 5 Sa LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER � (Name ) ��_ • (Phone) TS2-- 4Y7— a (Address) P. 4 024 Ri► '1a .. ' i 'r 3 7'2■ APPLICANT HEARTH & HOME TECHNOLOGIES (Name) _ dha FI HE &HOME E �H (Phone) (Address) I a Lic 662656 • ROSEVILL , ! r NUE N (City) (Zip Code) M N 55113 (Contact Person) /1. 651 .633.2%1 (Phone) • APPLICANT SIGNATURE Z 0 ' 4 i DATE 7) ----/ — ! APPLICANT PLEASE COMPLETE BELOW • • DNEW 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 DWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water 0 Mechanical into Required Side Yard Setbacks. ❑ Radiation Fireplaces with Box Additions or ©Air Conditioning ❑ Special Devices Went. System [] Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL If - 0/ 1, - 0 SL/Q -c 2i -- 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 & Ahe oQ $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only /"110 WITH $49.50 Estimated Cost $ 3/7 00.00 Building Permit # UILDING PE.RMIT The Minnesota Statutes § 32613.148 . HEATING PERMIT FEE $ "SURCt 1ARGE" has been changed for one year effective STATE SURCHARGE $ .50 July I, 2010, until ions 30, 2011. TOTAL PERMIT FEE $ The minimum surcliame for a "fixed fee" permit (Office Use Only) is IS beginning July 1.2010 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 X04 Mt Date Rec'd CITY OF PRIOR LAKE r._) h7 SEWER AND WATER PERMIT Q ' kivEs° µ niY PERMIT NO. /. 2 . .. / 420 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 4 'is (05 1?).t&C.kn .4-rekt N � LEGAL DESCRIPTION (office use only) LOT a BLOCK l ADDITION 9ii �{5yey �4 ti PID 5 • 49 5. 00 a .0 OWNER J �a . ^ _p (Name) D Lt.x\ L 1 i 2C��j2 C.DOCt ✓lcs -kf 1 (Phone) •J cJ (Address) (Address) (City) (Zip Code) APPLICAN , (Name) 7140 W -tl f) p l-i ! I l ( (Phone) I Sad - �75 ` 'f goci (Address) 1%19 D DcL.i r uL, S +� 101 i (FYCt Qr.. 5535a (Addre (City) (Zip Code) (Contact Person) C.11 l i {' BokAi (Phone) tD I o"l -- 9 ` 9 - 54 a APPLICANT SIGNATURE L.... = �� DATE 1 • APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structurs 0 feet. Type of sewer pipe. ❑ ABC i J PVC ❑ Cast Iron Estimated length of sewer line 10 0 feet. 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 $ PAID WITH STATE SURCHARGE $ iLDING PERMIT TOTAL PERMIT FEE $ V (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 CITY OF PRIOR LADE 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 -4"97 (=PS ea ci^ Lot Area 2 crO 7 6ro 014w) Sq. Feet x 30% = 7 7 2- 5.R. ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LENGTH WIDTH SQ. FEET HOUSE x = 3 o c=3 x = ATTACHED GARAGE x = cj' $g TOTAL PRINCIPLE STRUCTURE .`I f5 F, S. F. DETACHED BLDGS x (Garage /Shed) x TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = Z,.(o (Drive ay -paved or not) x = (Sidewa arking Areas) x = Sp TOTAL PAVED AREAS at( s. F. PATIOS/PORCHES /DECKS x = (Open becks 'A" min. opening between X = boards, with a pervious surface below, are not considered to be impervious) x = TOTAL DECKS S 3 OTHER x = x= — TOTAL OTHER TOTAL IMPERVIOUS SURFACE 7ZOZ DER OVER 2-70 Prepared By / ' Date to / a - rz Company 1" ro e UCttf;vl.eei-,, eor. Phone # c ts - c(32 34-190 00 tel ,, i ttiNEsoo MEMORANDUM DATE: Monday, May 20, 2013 TO: Janet Ringberg FROM: Lynda Allen RE: Building Permit #12 -1120 4865 Beach Street N.E. Please refund the $5,000.00 demolition deposit on the above referenced building permit. All work has been complied with and construction has begun on the new home. Return deposit to: Dean Coddington Post Office Box 780 Prior Lake, Minnesota 55372 Thank you./ ide L •aS `1 n, Building Services. Assistant 0 4 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 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 $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 $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. DATE: \O) \1ri \) , --SITE ADDRESS: "\ ZoS Q L S � PERMIT #/2 - /2 W REFUND TO BE MAILED TO: p EPC ICI C ..11\VV TZ) • _t_45 _ .P 2 . _ fti.�t N _�frtr� � PLEASE REMEMBER / (nda S. A = n, Building Services I 56 Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION D 3 Acct.801.20204 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITE I_ SIGNATURE: D PRINTED ON LINEMARK PAPER - HOLD TO LIGHT TO VIEW. FOR ADDITIONAL SECURITY FEATURES SEE BACK. 0003235 11 -24 CASHIER'S CHECK 0323500401 Office AU # 1210(8) m Operator I.D.: main0397 main4604 o November 21,:2012 0 PAY TO THE ORDER OF ** *CITY OF PRIOR LAKE * ** E * * *RE: DEAN CODDINGTON * ** ** *Twenty -two thousand seventy -eight dollars and 28 cents * ** * * $22,078.28 ** a LL. WELLS FARGO BANK, N.A. VOID IF OVER US $ 22,078.28 > 16817 DULUTH AVE SE PRIOR LAKE, MN 55372 FOR INQUIRIES CALL (480) 394-3122 AUTHORIZED SIGNATURE • "0 3 2 3 SO040 LH' 1: L 2 L000 2481:486 L 5 L L8 3011' RETAINAGE FORFEITURE ACCOUNT NO. 32211 DATE: Authorize to Release P:11JB WOODFITTERIBLDG PERMITS - INSPECTIONSICITY OF PRIOR LAKE BLDG. PERMIT PACKIBUILDERS DEPOSIT FORM.DOC t PRI0R LAKE DE P A MENT OF BUILDIN BUILDING AND INSPECTION INSPECTI RE SITE ADDRESS 4 � s Ile. NATURE OF WORK ,S ' / /VG• PM/04-4, �mwSt L-�vC� FDi�+��(c /It ��P.c,�l USE OF BUILDING S D • PERMIT NO. DATE ISSUED /0 • CONTRACTOR PHONE • NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPE TIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT Install erosion control & maintain clean streetssatroal1 times, DATE FOOTING g4J• Nubs / /z9 /i - 1 FOUNDATION (Prior to Backfill) I ', 17./7 1-4, 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Radon system under concrete slab MOOG H - INS 0 s,k r SEWER/WATER/SEPTIC 1)„A q • FRAMING WC). 49 INSULATION 7120 4 G '-1 f i ll : House N rt. , ihs / c nar ` ELECTRICAL i i Wiz. v • a ai PLUMBING tOC-- ,/* 3/5/7 HEATING (if required) rp q/1r.4 FIREPLACE GAS LINE IIR TEST ' ✓ . r adon pipin R NO WO RK " a UNTIL ABOVE HAS BEEN SIGNED ,ystem I House Wrap % z C -t , (_13 I FIN ALS GRADING (Prior to Soddin ) BUILDING ,, L,O It - rol ELECTRICAL C ' i 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. FOR ALL INSPECTIONS (952) 447 - 9850 i • • ♦ a