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Building Permit 13. 0296 & 13.0863
T T % ,A,A A SA A AAA , , r , ,YC, <, CITY OF PRIOR LAKE -tparfnu ofriiM n irnspr hoxt , X Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential l❑International Building Code certifying that at,the time of issuance this structure was in compliance with the various K ordinances of the City of Prior Lake regulating building construction or use. For the following: S I NGLF FAM T I Y Bld g. 13_0996 Use Classification Permit No. o- OccupancyVN Type R3 Type Construction Zoning District R3 YPLegal Description L20, R4, WENSMANN FOURTH APDLTION' 2582 WATERFALL Owner of Building Site Address ' WAYNW RAI tui Contractor's Name&Address CF TRAM HOMFS ROBERT D . HUTCHINS 7City Planner Building Official ' Date: .16 if0 (" Date: POST IN CONSPICUOUS PLACE �� z a ~ ZFN.. W u. 5U W f" WWL Z aaa :I `1 02ww < z Z ti W V LL U 0 � M 000000 v o \ I . II v O 3c2 = OOLLJ 0 U a 0091 d aO�Ay.C = mS = Z ? 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(� �' —i:7 , 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZO 0(office use) 2 56 2- tv1• I U/tRi f-1 d 0 3 LEGAL DESCRIPTION(office use only) L LOT V3 BLOCK ii ADDITION Iile/�sfr1 s '1 L t nod/�Dr1 PID 2c-, 4-is, o'6, ,0 OWNER - C _ OCI 'G\ 7 'S2'/(Name) Trot, 7 /0�� (Phone) (Address) )1(Ao Rot, 5 oY1 De- iiy/6 /V JS''y 3 BDER 44"( gy �C-'/) Jr-,. Ho ei-1 e 5 (Phone) 6 Compny Name) /� 9"01-54•S C)an (Contact Name) OJ /1 -SOJd/'►-700159/1 (Phone) (Address) , TYPE OF WORK gNew Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace Addition DAlteration ❑Utility Connection CODE: 101.R.C. ❑I.B.C. 0 Misc: —� Type of Construction: I II HI IV V AB ! (/ Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ ilv�. .7 roc Division: 1 2 3 4 5 (excluding land) I hereby certify that I h. 'hed info... • .s 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 .•:.erty and tha ./ = . ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revo this permit : ,, -.. e. Furthermore,I hereby agree that the citytial or a designee may enter upon the property to perform neede • pectin . gfi , re Contractor's License No. Date Permit Valuation / I-7 000..- Park Support Fee # $ Permit Fee $ t i S sw SAC # $24 tr. IAA. Plan Check Fee $ 15f .DS Water Meter SizW8"; 1"; $ 01' 4m State Surcharge $ s8 Pressure Reducer $ 10 Penalty $ Sewer/Water Connection Fee # $ / IIi " Plumbing Permit Fee $ LC 50 Water Tower Fee # $ /660 0' Mechanical Permit Fee $ ' +sv Builder's Deposit $•2S10 i-4 Sewer&Water Permit Fee $ Other F-j&,_ /,.4rn 5/ci,ti $ (S4, v Gas Fireplace Permit Fee $ TOTAL DUE /0/.677# f 2 This Apr at'on : .me our Building Permit Whe Approved Paid /0 , A-4-7 , S R Ipt No. 67 i0(, Date 5 4 Z.T. /,3 By/' . 6 , Building Officia "— 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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning Director 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 0 4t Builders Deposit • CAI' 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 includingbut 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 periiod 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. DATE: 27/3 / 5 SITE ADDRESS:• Z5 ! /1' IA"1<�- W /4PERMIT# 13 .2,949 • • REFUND TO BE MAILED TO: f_ • [Id i^=� £'�` Il y6Q R6,.•s0 r (11,13 • PLEASE REMEMBER fir , W..b00_00 Lynda S. len,Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION 4d - /41 t• Acct 801.20204 2. KEEP EROSION CONTROL IN PLACE Date 3. TEMPORARYOCCUPA 'MIT MU . b1- RE OR$50 Ali [, ,[ i SIGNATURE: Lar Poppler, City Engineer Central 23570 CENTRA HOMES, LLC Im Bank 11460 Robinson Dr NW w""rk Minneapolis,MN 55433 75-511-919 8 PAY �. TO THE ******42,258 DOLLARS AND 32 CENTS DATE AMOUNT ORDER OF 05/21/2013 *****42,258.32 City of Prior Lake 8 4646 Dakota Street SE I Prior Lake, MN 55372-1714 AUTHOR .Slc 'MIRE 00 2 3 5 70" i:0 9 /905 1 L 4': 260000e ,/ � rxlp\ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd AN : 5I\IP ORARY CERTIFICATE OF ZONING COMPLIANCE �' AND UTILITY CONNECTION PERMIT es :7. 13 jNNEso� W 13 G t.white Pile PERMI NO. 4 2. Pink City 3.Yellow Applicant • ila011 (Please type or print and sign at bo... 1) ADDRESS ZONING(office use) 2582 Waterfall Way r Lake, MN 55372 R3 LEGAL DESCRIPTION( only) LOT 20 BLOCK 4 Al ''. :"FION The Approach at the Wilds PID 25 A-05 . O C. OWNER (Name) Centra Homes (Phone) 763-772-1000 (Address) 11460 Robins r NW Minneapolis, MN 55433 BUILDER Centra -,-3 763-772-1000 (Company Name) (Phone) Jon Sc ''''.:nscn 612-242-5046 (Contact Name) (Phone) (Address) 11460 Robin Pr NW Minneapolis, MN 55433 TYPE OF WORK ®Nev s [Deck DPorch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addi ', tcration ['Utility Connection CODE: I.R.C. ❑LB.C. 0 Misc: Type of Construction: II III IV V AB Occupancy Group: A ; HI MR SU PROJECT COST/VALUE $ Included with origin Division: 1 2 3 4 5 (excluding land) permit application 2 I hereby certify that I have furnished in tic'his 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 al . 11 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 for just ,ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Sig: Contractor's License No. Date Permit Valuation :3 C Park Support Fee # $ Permit Fee —74( , -7 c SAC # $ Plan Check Fee Water Meter Size 5/8"; 1"; $ State Surcharge I- S—D Pressure Reducer $ Penalty Sewer/Water Connection Fee # $ Plumbing Permit Fee Z Water Tower Fee # $ Mechanical Permit Fee Builder's Deposit $ Sewer&Water Permit Fee Other $ Gas Fireplace Permit Fee TOTAL DUE e f 14, I T $ /J (0. M This Application Becomes Your . i emit When Approved Paid Receip O. 69 d Date ‘15/,1(o ( ) By Buildin:Official Date / ( This is to certify that the request in th, ,n and accompanying documents is in accordance with the City Zoning Ordinance and mayproceed as requested. This document when signed by the City Planner cons y Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning Direc i 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 CONTRACTORS MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion or work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is understood the owner's representative's signature in no way prejudices any claim for faulty material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME:Approach at the Wilds DATE: 9-30-13 PROPERTY ADDRESS: 2 j 5- Z 1:<-,44-E./1( Lev. ACCEPTED BY APPROVING AUTHORITIES(NAMES) City of Prior Lake PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS • YES C1 NO EQUIPMENT USED IS APPROVED ilk YES 0 NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT El YES 0 NO IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: • YES C) NO 1.SYSTEM COMPONENTS INSTRUCTIONS • YES C] NO 2.CARE AND MAINTENANCE INSTRUCTIONS • YES C] NO 3.NFPA 25 El YES [] NO LOCATION OF SUPPLIES BUILDINGS SYSTEM ENTIRE BUILDING DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY Reliable F1FR 2013 1/2" 155 48 Reliable F3QR(Dry) 2013 1/2" 155 2 SPRINKLERS - CPVC with CPVC Slip fittings PIPE&FITTINGS ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM VALVE CONNECTION OR FLOW TYPE MAKE MODEL MINUTES u SECONDS INDICATOR Vane Potter VFS-R DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP* WATER AIR TRIP POINT TIME WATER REACHED ALARM OPE.RATED THROUGH TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO DRY PIPE WITHOUT OPERATING Q.O.D. TEST WITH Q.O.D. IF NO,EXPLAIN "MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION IS OPENED. OPERATION I=1 PNEUMATIC 0 ELECTRIC ll HYDRAULIC , F 11/0 CITY OF PRIOR LAKE Date Recti iii:4!:,-, HEATING/AIR CONDITIONING/FIREPLACE PERMIT _. _..,,tx,r,,,. dizvrvEsoo , ,t, Pik PERMIT NO.i 3.Vdve AW!isat (Please type or_print and sign at bottom) LADDRESS ZONING(office esc) LEGAL DESCRIPTION((Acc use only) ) LOT) BLOCK — ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT(' q{ (Name)_ r 1 I�v. A;` >( U dr w .' (Phone) ` )�r�� f J (Address) &3 ."--) t I l+�Vl )� l.(� ` " Vv J�3;? (Add (City) (Zip Code) (Contact Person) 3 b [` ( i (C t S. r (Phone) q S t –3(, -7 / C 5 APPLICANT SIGNATURE% ,t ��L�.. DATE _____7_,11_0_________ APPLICANT PLEASE COMPLETE BELOW CONSTRUCTIONr �D REPLACEMENT�/ � y I 0 ALTERATIONS* –Y1' y, , FURNACE MAKE AND MODEL CC U J ] - ;1-'i t C 91(0./5l Lt �(FUEL bat C FLUE SIZE RETURN OPENINGS INPUT _(d/MO OUTPUT 5S} =SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner Air Plants ❑Steara Units and Fireplaces Cannot Encroach ['GravityHilt water into Required Side Yard Setbacks. echanical 0 Radiation Conditioning ❑Special Devices Fireplaces with Box Additions or t.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family I%(flab cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations PAID II11 Residential.Heating Only(New Construction) $64.50 Residential,AC Only 4 . 0 Bulumo Rmirr Estimated Cost$ t t CI LJ Building Permit rf , IThe Minnesota Statute*326[1.148 HEATING PERMIT FEE $ `1'` "SI'11(1 I AR(,1year has effecbeentive ehanied for one STATE SURCHARGE $ 5 ,DO :Inh 1,2010,until June Mi.2011. TOTAL PERMIT FEE S 5L-1_, _ f he minimum sorrhnrgc rm•n"Geed fee"permit (Office Use Only) Ic 5 ,hewnnin> .loly 1.2111 r1 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,In(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 of PRI0� Date Recd CITY OF PRIOR LAKE M SEWER AND WATER PERMIT: AL 4,NNESo.. I. Green File PERMIT NO. 2. Yellow City 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) W M-7 L ud/9y LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER �( / —77�-- Ja ) (Name) �EA)--)q.4 1,pr l-I����J r ��C (Phone) 7 �_ (Address) 1) 94 O /1 O[71A�0/i l Qin j V, N CCw/ '.Pr OS• _ (Address) (City) (Zip Code) APPLICANT (Name) f-JA) L -JV C, (Phone) /b/) (Address) c3"PP Fr iir VE : J,vRO4-4) 5,r (Address) (City) (Zip Code) (Contact Person) �1 /J/7 j D,�LI✓% (Phone) k b 7 4)77r APPLICANT SIGNATURE DATE _ APPLICANT PLEASE COMPLETE BELOW Size of water service M5 inches. P0.4 Location of any couplings from structure — feet. Type of sewer pipe. [ ABC [X PVC ❑ Cast Iron Estimated length of sewer line 55 feet. Clean out(if required)located at — feet from structure. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial,Com'l&Multi-family 1%of job cost with a$39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit# • .j SEWER AND WATER PERMIT FEE (?i l / S STATE SURCHARGE $ .50 � 1/taill I TOTAL PERMIT FEE $ (Office Ilse Only) Tnis Application Becomes Your Building Permit When Approved Paid Receipt No. ® r" � p I H• Date BUIL-r IG PERMIT Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 i PRfp Date Rec'd 1..C).' - 'P y„t_ CITY OF PRIOR LAKE PLUMBING PERMIT x '„ 1 , /zi'NEsolt'' ,.Glue FitCit PERMIT NO. Q ) Yell °. cold ApplrIs - . W Appcam (Please type or print and sign at bottom) ADDRESS ZONING(office use) 'aai LEGAL DESCRIPTION(office use only) LOTODBLOCK ( ADDITION PID DWNER Name) (Phone) Address) kPPLICANT -- 1�. v& I r'Di u L. 1 I _!�d -7(n.1 I W (Name)_ (( 1 � ' `(Phone) ]])� Address) W' +lug\( ,13 VVr f I K m� 55337 (Address) fC1^ ,,¢ (City) / (Zip Code) Contact Person)1 I el 1 d � uS) 0J( (Phone) ;`7 S -i . > / ►PPLICANT SIGNATUREV)I,C,I.ML ( 4r/fritAlDATE / I APPLICANT PLEASE COMPLETE BELOW _Quantity Type of Fixture Quantity Type of Fixture t Bath Tub with or without shower _ Rough-ins Dishwasher I Water Heater Floor Drain Water Softener 3 Lavatory(Bathroom Sink) + Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a S49.50 minimum Residential,New One&Two-Family 5149.50 Residential,Additions&Alterations S49.50 Minnesota Statutes§32613.148 ►st $ 16L Building Permit# .148 1 PAID WITH has been extended until lune 30,2013, PLUMBING PERMIT FEE $ BUILDING R 'RMI T he minimum surcharge for a STATE SURCHARGE $ .50 "fixed fee"permit is$5.00 TOTAL PERMIT FEE S rhis Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildtne 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 PRIOR LAKE DEPARTMENT OF BUILDINPANDJN.SPECTIAN. See n tine INSPECTION RECORD SITE ADDRESS 25S2- Aw WAY _ NATURE OF WORK S INc r>Fe-/4 Fig/. L.G. IREt-t USE OF BUILDING PERMIT NO. t3,. z DATE ISSUED/� 4 i5 f,3 _ CONTRACTOR I AIES PHONE ea • Z, 50 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING _ FOUNDATION (Prior To Backfill) _ RADON RETARDER _ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC FRAMING AW�c INSULATION id.4214-1Y PA /s em ELECTRICAL PLUMBING ki.6. ) le- (0-13 l� 131 /17 6 HEATING A181- FIREPLACE GAS LINE AIR TEST ala ei'y' RADON P/5 COVER NO WO-111K UNTIL THE ABOVE HAS BEEN SI NED HOUSEWRAP � LATH �f�� r-(R6 c-;„ ss/ '��b > ,i FINALS IOX,1 Si#/op,�ss: GRADING PRIOR TO SODDING) BUILDING Tom,CO VA-IV/Mr- 10/,,,bt ELECTRICAL PLUMBING fib /4 �/ 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