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HomeMy WebLinkAboutBuilding Permit 14. 1152 -IC?)C A..\/, A ,A , A� YIY.I I k /. I ly: Il#Ufi 1 ASA/ CITY OF PRIOR LAKEI Pi p zrftrrnnf of Puittlitt 1nspirfia K 4 Final Permitted ❑ Conditional C.O. Expires This Certificate issuedpursuant to the re uirements ofSection 110 ofthe D Residential l D International � g Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances ofthe QCity of Prior Lake regulating building construction or use. For the following: Use Classification 'k us-Cl _ 4-wti� : t-, H C r d Bldg.Permit No./L/" ii c 2 Occupancy Type Type Construction Zoning District Legal Description I. 7- 1 f( 1'�-i'or" ‘,, )(S 1 A. 41 kln. Owner of Building Site Address ConJ actor's Name&Address 11 , I } t 1Official, City Planner Building , _ Date: (L/c�I /- Date: w POST IN CONSPICUOUS PLACE I I I ll".1 Jp A II I I Y I I II IY iu z 1r 2 J reL. F'• i_ CC U lr UJ zg00 J ZU fy W C 2 W W 0 p Rx Q z C NVu. 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Pink City PERMIT NO. /�. //52_ ,, 3.Yellow Applicant / • (Please type or print and sign at bottom) ADDRESS / ZONING(office use) 2612 Waterfall Way NW Prior Lake, MN 55372 (LiD 1,-)) LEGAL DESCRIPTION(office use only) LOT 32 BLOCK 4 ADDITION Wensmann 4th PID 254181080 OWNER (Name) Centra Homes (Phone) 763-772-1000 (Address) 11460 Robinson Dr NW Minneapolis, MN 55433 BUILDER Centra Homes 763-772-1000 (Company Name) (Phone) (Contact Name) Jon Solomonson (Phone) 612-242-5046 (Address) 11460 Robinson Dr NW Minneapolis, MN 55433 TYPE OF WORK ®New Construction ❑Deck DPorch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Alteration DUtility Connection CODE: JI.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 SU PROJECT COST/VALUE $ 14 5,4 9 6.7 2 Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished inform 'on 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 • o..rty and that all co ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official cant v. -`/permit for' st ca . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. . 7X Signature Contractor's License No. Date Permit Valuation /Jl5%.9�/'700 ..p--- Park Support Fee # $ Permit Fee $ /: (, , sot SAC # $ 4 /.//6-7, f Plan Check Fee $ e1,C1 2'g Water Meter Sizs 5/8'';i,,,',.; $ ./Qzj e 00 State Surcharge $ -7,R , S`e,) Pressure Reducer $ /Jo# )p Penalty $ Sewer/Water Connection Fee # $ )57)6 0 0 Plumbing Permit Fee $ %�,� SO Water Tower Fee # $ //000 Do Mechanical Permit Fee $ (/5 4 0 Builder's Deposit $ 6-73,0r. L'r Sewer&Water Permit Fee $ ,fir. S Other F—�e-5,�/�L/2 $ //.74 _c-O, Gas Fireplace Permit Fee $ 54,3'0 TOTAL /DUE r, $/ 9 r / This Apr cats s i/Bec I .es Your Building Permit Whe A t,.roved Paid /6( goSi `( Recei ko. 7 2. 1 Z /�j 1 �` /� • Date q 0 `� By B ildi g Official Da e This is to certify .at the request in the above application and accompanying d.cum: is is in accordance with the City Zoning Ordinance and may proceed as requested. This document when si: bytt e Ci., Plattner constitutes a temporary Certificate of Zoni co .liance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued.41 ti Adr (6. j 4 ''so -..,-- 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 O1 PRr04) Builders Deposit 5t. 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. DATE: SITE ADDRESS: rP/' c.-41411#1-0'4/1 WiPERMIT# /*'•1/52— REFUND TO BE MAILED TO: PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION f r, 2. KEEP EROSION CONTROL IN PLACE (For City Office Use Only) 3. TEMPORARY OCCUPANCY PERMIT MUST NOT !a Z9_!S 42-, 50O..IJU EXPIRE OR$500.00 WILL BE FO EITED Date Amount SIGNATURE: filt L oppier Ly da Allen City E eer Build g Svcs. ` 551829 Centra Homes,LLC IC n a%k 11460 Robinson Drive NW _" Av.I eiri .46gg Minneapolis'MN 55433 . www kleintianKcorn 75-I565-919 , 2 PAY' g roTHE EXACTLY******43,477 DOLLARS AND 52 DATE A ORDER OF CENTS MOUNT - 1.0/14/20 4 :. - *****4 Cityof Prior 43;4'77�5�� ' 4646 Dakota Street SE Prior Leke,MN 55372-1714 11'05 LB 2911' 1:09 L9156541: 0003 2566 3 , _,.,,,-, 72 1 ritr CITY OF PRIOR LAKEDate Recd • :,,°iArrill HEATING/AIR CONDITIONING/FIREPLACE PERMIT 't,�N ocr ' ";n> pll` I PERtI/IIT NO. • 14.' . IZ. NES .: . 2.Green *sly 3.Yellow Applicant Incase type of print and sign at*bottom). ADIIYtESS :: ' ZONING(omco ws) u7vey, ! ...Vea 1 k W gi'cl \r\I LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION ^_ PID OWNER' Ceka W(Name) ' o .5 (Phone) __ _—_ (Address) APPLICANT HEARTH 1 H• ' ' s to (Name) dba FIRESIDE HEARTH &HOME (Phone) W`(�5)" (fl33 25cv1 - I:fc 5656 (Address) 2700 FAIRVIEW AVENUE N Va.'4 4f(.1,F....;1-(.0j - 3B1-1 ROab',II .E, MN 55113 I 651.633.2561 (Phone) Lea-in ,-(SRL 3/2-• (Contact Person) ( APPLICANT SIGNATURE I o 1_ 4 I. ,� DNI—;-7112-L-1./I 016{'0 01 or P.-P1it31 1 , PLEASE COMPLETE BELOW e h(ee.Y+h home .c _._._ bact�pe►'m i�t APPLICANT al„W CONSTRUCTION 0 REPLACEMENT 0 ALTL+RATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE - RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner OWaim Air Plants 0 Steam Units and Fireplaces Cannot Encroach p9x'avity 0 Hot Waler into Required Side Yard Setbacks, i.id'Mechanical. • 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices___._ [Went System 0 Other P•vices Cantilevers to the Outside o1_Buildings msRequire a Building Permit. •FIREPIACEMAK MD::0ODEL: 'ii. Q� 1`� �____ FEE SCHEDULE Industrial,Commercial&Multi-Family 1%o.of job coat Residential,Oas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $L49,50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $6450 Residential,AC Only $49.50 Estimated Cost$ Building Permit # the Minnesota Statutes¢32GL3,I48 "til iRC:1 IAILOli”bus been changed for one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 .Only 1,2010,until June 30,21111. TOTAL PERMIT FEE $ •The minimum snrchlrt;e for a"Fixed fee"permit is S.beginning July 1.20111 (Office Use duly) ‘��y � This Application Becomes Your Building Permit When Approved Paid Rec$00 7d ti rt A ,� Date , ‘ .. ,-i.-.� sandhi Official Mate 24 hon'notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 7 01412- - - 11 rnto CITY OF PRIOR LAKE Date Reed 4:31LA HEATING/AIR CONDITIONING/FIREPLACE PERMIT (0- 2o 1 f `- �" 1.Pink File PERMIT NO. NNESO 2.Green City //J` / is_2_ 3.Yellow Applicant 'T (Please type or print and sign at bottom) ADDRESS ZONING(office use) 9V I vj(LrJ (c t\ WCA, ?3 LEGAL DESCRIPTION(office use only)LOT3 243LOCI4 ADDITION �t/ s-m4�; ) 4c/cIt) PID,W5-• qie:-/e)8 0 OWNER/', /" , p - Phone (Name) �J I �V �, ( h ).--7 (Address) I/ L -� APPLICAN ►: aZ' I I 11 (Name) 1 ,AZ /i ' 1 (Phone) (Address) #1=11104111WL1 a / a A J (Contact Person) .ti Ii Will i 17171 4. . (Phone)/ "- 1]i — fAPPLICANT SIGNATU' I,/,/r r 1/_.JJW4f/ ' DATE 10 r�J L. APPLICANT PLEASE COMPLETE BELOW 6141\IEW CONSTRUCTIO ❑REPLACEMENT DALTERATIONS N FURNACE MAKE AND MODELUQ nil �J�3 FUELC� FLUE SIZE RETURN 1 N1NGS 44 ,;n' yip INPUT 0t�)t�O OUTPUTA In 0 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ['Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water Into Required Side Yard Setbacks. E echanical ❑Radiation Fireplaces with Box Additions or C1 Air•Conditioning OSpecial Devices Cantilevers to the Outside of Buildings ❑Vent. System DOther Devices 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,�.�`(1� Residential,AC Only $49.50 Cost$F�q 0 '0Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid DatesU !^ /11 �` Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i 10/2312014 09:53 FinalGrade (FAX)952 492 5101 P.00'.11001 oQ vrrioR Date Rec'd CITY OF PRIOR LAKE (±: /LC SEWER AND WATER PERMIT �� �• b�Hlv3:eo�r I. Oman 'a PERMIT NO. t, Yellow City 3. Cold Aeyllaee f (Please type or print and sign at bottom) ADDRESS ZONING(office use) • It w0-ae- co-t1 LEGAL DESCRIPTION(office use only) LOT 3 LOCK CL ADDITION k,&1/7.574V/2 7 i 4J j PID 025-- c I k OWNER /P �1 (Name) l.-.t Q8. YY1t.S (Phone) (Address) ) � LIU 0 rQ ai n S►m br VE- 1.3�,�1 �`��n 1.c1/, •jS 3 3 (Address) (City) (Zip Code) APPLICANTw ^^ �n (Name) An ✓\kJ G (�rad P. (Phone) "l ' (Address) 3-1(-1l B 1v jfj✓ct i ' 3 3 t_ (Addre (City) (Zip Code) *51 (Contact Person) 0, w f, (ll .', (Phone) 0% 161 Z --„W 1 -T 11 9 APPLICANT SIGNATURE A ./►mob DATE 101)3 J l • APPLICANT PLEASE COMPLETE BELOW Size of water service IN inches. Location of any couplings from structure 0 feet. Type of sewer pipe. ❑ ABC IR PVC ❑ Cast Iron Estimated length of sewer line 30 feet. Clean out(if required) located at t t(Or 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# SEWER AND WATER PERMIT FEE $ TQ STATE SURCHARGE $ .50 ` \ fµr`� TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PAIDWVITH Building Official Date BUp DWO PERmi 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 PAID WITH BUILDING P!RMIT LOH— g2,11 — P . • Date Ree'd ,1„,°1 per„� CITY OF PRIOR LAKE PLUMBING PERMIT •. D/ ®- 2O o it : 1.Zed Fee PERMIT NO. f"7`, //5-2., Zed 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZOZIMIG(orrice use) 2Le l 2 0' . 1 IUCD V �fj��ll LEGAL DESCRIPTION(office use only) , / p LOT BLOCK ADDITION ke/�� 4 & 4 01�) PID R `i - /of-0 I I OWNER.C.7 (Name) `"'�J/ / i, (Phone) 21 (Address) P A i411,_. i l l IA O( J f pi-1572 (Na )ANT&Ci/1Z- 011. "�(Phone '_ r _ 0 I (Address)NO O W11O '1W) 137 , 1 i6,' P ri4V1 ii t. " 7 (Addressl, (City) (Zip Code) (Contact Person) /fit 1111 691 a (Phone) - 6t!1 i o- i g6-7 APPLICANT SIGNATU' 14 411 _ /•L .IA iid! A . DATE V aw APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity _ Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher 1 Water Heater 49 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 .11) Water Closet(Toilet) Other T}ie Minnesota Statutes§32613 48 FEE SCHEDULE Y i joti cost with a$49.50 minimum Residential,New One&'IWaFamil $149.50 "SURCHARGfi"leas been extended Residential,Additions&Alterations $49.50 The minimum surcharge foraf "fixed fee"permit Is$5.00 $W+1.1/141.)v Building Permit# .PLUMBING PERMIT FEE $ STATE SURCHARGE $ XXX 5.00 TOTAL PERMIT FEE $ (Office Use only) This Application Becomes Your Building Permit When Approved Paid pit' 9. Date Ettai_ sj y P ;1 MM!'T ; Building Official Date 4 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 1 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 10/23/2014 09:53 FinalGrade iFA)O952 492 5101 P.0011001 oQ r eto4' Date Rec'd CITY OF PRIOR LAKE ;',' /1L C . x SEWER AND WATER PERMIT /�. z�` l U 1n 4r/ivoiro OP. i I. Oman 1714 PERMIT NO. / 2, Yellow Airy t[ //.5 3, Gold At,Dllooet 7 (Please type or print and sign at bottom) ADDRESS ZONINGp� (office use) . 17— W 0 -P4-11 W f5 3 LEGAL DESCRIPTION(office use only) y /� LO 'BLOCK ADDITION We/ )A "�/�'��/l) PID 075-- 7� - /0f-0 OWNER Ctn,* O. ( ) 103 - 17 2—'01 40 (Name). YV'l�.,s Phone (Address) 1 I Co 0 I<n ai n Stir Qri V(- IQNk) f11on RA401.ck .5D Ll 3 3 _ (Address) (Ciry) (Zip Code) APPLICANT (Name) (9l r P.. (Phone) AS2- q_6_7. -1,.._11/0_____..,l9? _ i Uy (Address) Ip. 11s►1 ' ' — i, . `. A S Z `` (Addre:l: I (City) (Zip Code) (Contact Person) ,) VYV(P 1;n11,}/ (Phone) 'I g''% �p t Z-.310°I -7,F‹ APPLICANT SIGNATURE DATE IC))z?JJ- 1 APPLICANT PLEASE COMPLETE BELOW Size of water service (.7y inches. Location of any couplings from structure 0 feet. Type of sewer pipe. ❑ABC Rj PVC ❑ Cast Iron Estimated length of sewer line_30 feet Clean out(if required)located at NIA-feet from structure. FEE SCI:EJULE 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# SEWER AND WATER PERMIT FEE $ TO..\ 7 STATE SURCHARGE $ .50 1 et"S N v, TOTAL PERMIT FEE $ ` (Office Use Only) , This Application Becomes Your Building Permit When Approved Paid PAID Wl pt No. Date BU1LDNG WRIVIIT /. Building Official Date 24 hour notice for rill Inspections(952)447-9850,fax(952)447-4245 . .DRO PRIOR BUILEPADING TMENT AND INF SPECTION a ii INSPECTION Re6611k.i SITE ADDRESS 04°. / a ill 4 i V NATURE OF WOR . ,: ' .447 Arr. ' 1. f► //� /P--/g/77 OF BUILDIN . 7l( 1 r� 19 v 'h / PERMIT NO. 11 /1' D ' E IS UED CONTRACTOPe ' ' rS PHONE"I` mpo INSTALL EROSION CONRTOL AN MAINTAIN CLEAN STREETS A ALL TIMES INSPECTOR DATE FOOTING FOUNDATION (Prior To Backfill) PE )c5/2?jr0 RADON RETARDER f6 /o/ f� PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WA R/SEPTIC ? biz-7,) ,/ V FRAMING l4 << wt. - ) 1(c, "--- INSULATION INSULATION et 0/5 ELECTRICAL PLUMBING VisCP P_(5 a�'2.`� ` ff )e ..7J1 HEATING FIREPLACE GAS LINE AIR TEST 77,E-,.o. "1/2-Os' ''' ,4--� RADON liMMOIIIII '(p fJ G 94 1 /i3"r COVER NO WORK UNTIL THE ABOVE HAMS BEEN SIGNED HOUSEWRAP LA as_ nr FI/z AvA wSSjay!pa6 MALS 4 l7 GRADING (PRIOR TO SODDING)��,?� 7 J� BUILDINGI 4t3 e, ,icam" '� too Ie � ELECTRICAL PLUMBING 2�Jas - HEATING a v2-11)31J1 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