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Building Permit 15. 0518,15.1193
''�1 ''<*'�f•A A A A'A, A i'k ��� r A— f��� ,/' / L / � t �' � "� i� ire / ���� /.. iv K'.',2:,„,, .,,'„„ , r= t 1 P:�r_i..i�19Li�w.��r�i �Y..nr..ih YF_. -- .�. y CITY OF PRIOR LAKE artn uitf of fuilbing cinspttfia '. , 71 Final Permitted ❑ Conditional C.O. Expires 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 t ordinances of theCity of Prior Lake regulating building construction or use. For the following: Use Classification ‘:'t Vv C)4 f C'-' • k Ha(L/ Bldg.Permit No: ��' ' C F C J . � Occupancy Type C Type onstruction V Zoningg/.District P Y ( it Legal Description 1-nt ( ~1'�"c� Owner of Building Site Address Contractor's Name&Address IT: i l '� ' �v�:1 .t 1' j-/ City Planner Building Official V Date: / /9��1 L Date: / POST IN CONSPICUOUS PLACE 0 J W z IP si fa550 Z aw w OOaCa Z < of c ' W U ti li 0 z O Vt�i 000000 > Na' Wcc = O N o aaQ I' 0 w Z 0 NG 0 `. z C O Y LL J z U 0 w U W z m 0 O 0 < F= D R U 0 W — == z — W H 0 mCd' Cm1L N L U d sitagmV r Coa. z a _ W < _ ,► \ 0 0 z F- d aX3waX 1111 am W W W k' 3 000000 �� 0 U z ,, a a1.1. LIJ_ 0 f- re W W 41 O < 0 144 0 U �� O z ▪ I= V O 0 I% re Oz O O W �-- FN-- < 1Zitor. Wa. 0 zoe < z z < o a aF N Z p0 ? g z w �' ww OW d' W z 6ogu' zt 2 O O O U 0 ai 00 0 u. 0 = mow 0 3 U U 1. tai < 0 a. 000015Q3 C) \K❑ ❑ c ■ 2 gk P k & � � a § ww - � Q Lu g5 §5z � aaa5 % k §0EC�k � ) %. 2 % g2; ■ - 1 c30000 / . > co ■ voka; § § m § _ - u. 2 _ § § z k k 44 iii i 1- § $ kk $ a E § § § zexzzI § © ■ 0 a k§� � k� § 12 - \QC k 2 ...1 ■ tea ■ § § § § OOO� U Q re z a. � u. I- >: k - ,. ■ 5 0 z 0 7 0 § 2)c: 0 a ° to § ii\ A (9 4C \ (0 0 0 t- CZ1 � . /0 CO ce w ll �k3 ) < w 2 ce cc cc ° 4 % w ■ w ■ ■ ■ o « 2 $ § § z U.U. �§�k O k § 0 2 Q U ■ < 0 a OOkcDO Q 000 / /� rxl04, /�v r CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ¢ AND UTILITY CONNECTION PERMIT 2_7.. I Se�rNNES��� FilCWknei�e MainFile 2. Pink City PERMIT NO. ic.sPW 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 2618 Waterfall Way NW Prior Lake, MN 55372 lg3 LEGAL DESCRIPTION(office use only) LOT 34 BLOCK 4 ADDITION Wensmann 4th PID 254181100 OWNER (Name) Centra Homes (Phone) 763-772-1000 (Address) 11460 Robinson Dr NW Minneapolis, MN 55433 BUILDER Centra Homes (Company Name) (Phone) 763-772-1000 (Contact Name) Jon Solomonson 612-242-5046 (Phone) (Address) 11460 Robinson Dr NW Minneapolis, MN 55433 TYPE OF WORK ®New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Utility Connection CODE: [1I.R.C. ❑I.B.C. ❑Misc: Type of Cbbnstruction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 133.310.38 Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished informat'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 property and that all con ii 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 can revok is rmit for j ,t cau 1 Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. S. x 4 c—.2/— i5 Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ �3 3/ � , I,-� I.s---0 SAC # $ Z4 5.V0 Plan Check Fee $ gr 3 �� Water Meter litil'; 1"; $ .00 State Surcharge $ ...5-00/ / ��, Pressure Reducer $ /50. 00 Penalty $ CQ iP Sewer/Water Connection Fee # $ /50/l 00 Plumbing Permit Fee $ /54_ 0 Water Tower Fee # $ /000. r a y V�S .0O Mechanical Permit Fee $ /5-4_,./54_ 50 Water Builder's Deposit $ V 00 0 O Sewer&Water Permit Fee $ r"] -- Other 1 i n �n�1 �. IL� $ 5 `SO Gas Fireplace Permit Fee $ ✓ 'l- 5b TOTAL D/UEE j/ F--�c $ D/,�`7D .7 / i,.v. , 4,► it # . i This Application Becomes Your Building Permit When Approved Paid Re' ipt No. l ceo Date C.--,z...( _, cy Building 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 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. PR/0 �� CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd AND UTILITY CONNECTION PERMIT 7 lNN E S ooe T. C .s•-4 J fr/vim- A✓/ ir, -646 1. White Fie (Please a or z. Pink city PERMIT NO. /..51 /rint and sly at bottom) 3. Yellow Applicant ADDRESS r , ,� 26 1 , (/V0.-l-e4(( ZONING(office use) wG� 3 LEGAL DESCRIPTION(office use only) LOS BLOCK ADDITION Gf/': �.4. „ti' ,/yiL) PID L?5-;" 17//f,"I/0— b OWNER (Name) Centra Homes (Phone) 763-772-1000 (Address) 11460 Robinson Dr NW Minnea•olis, MN 55433 BUILDER (Company Name) Centra Homes (Contact Name) Jon Solomonson (Phone) 763-772-1000 (Address) 11460 Robinson Dr NW Minneapolis, MN 55433 (Phone) 612-242-5046 TYPE OF WORK ®New Construction ['Deck OPorch ORe-Roofin DAddition DAlteration g ❑Re-Siding ►. ower Level Finish ❑Fireplace ❑Utility Connection CODE: I.R.C. DI.B.C. Type of Construction: I II III IV V 0 Misc: Occupancy Group: AB E A B t Division: F H I M R S U PROJECT COST/VALUE $ Z 1. 1 02) 1 2 3 4 5 (excluding land) I hereby certify that I have fu tiorran 7�4is application which is to the best of m knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned prop t�at allgg�� y abovofficiel can revoke ' perm . `i"eFuon will conform to allexisting state and local laws and will proceed in accordance with submitted plans. I am aware that � 'a se. Furthermore,I hereby agree that the city official or a des': ee may enter upon the property to perform needed the building - / coons. -Sigtrani; .__e__� Cv g ��. a`/ / Contractor's License No. Permit Valuation Date 3 Permit Feet60 (1 ,0 Park Support Fee # 1111111111111111 Plan Check Fee 11111111111111111. Water Meter Size 5/8"; 1"; Penalty $ ` ,SZ) Pressure Reducer Sewer/Water Connection Fee # gillIllIllIllIl Plumbing Permit Fee $ 6� Mechanical Permit Fee ' 5-0 Water Tower Fee # 111111.11111111 IUIIIIIIINNIIE 1111111111.0 Sewer&Water Permit Fee Builder's Deposit Gas Fireplace Permit Fee11111111111111111 i Other TOTAL DUE ., $ 9.30„ z 6, This Application Becomes Your Building Permit When Approved Paid / ti. , -; i.tNo. 0 ' Date •(, (. t j Buildin. 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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, issued. p cy,a Certificate of Occupancy must be Planning Director Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ., .. _ ..: :2L1PIE-1-T,,:-.:-.1i.n, pERma O. 6,--L-7,7;r:.91: 1 .-ja.-:.AIT .vipl...i.„...t...,,.' _?......,0L.31/11.... . 2. City 3. Gold ( Illc Please t ,e or,rinf and sign at bottom ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER . (Name) —_dlr. (Phone) ,74S:2- 7 'A :t4 ,/ (Address) -4e At__;.,.. ,.... A .At..... A. .4 i —.4.4.04k A i •4, , _ a. • Address) (City) - (Zip Code) APPLICANT , , (Name) -4 A A. Ae.-A, 40. iir , i Aetie * (Phone) 9' •-• •-• (Address) .46., AC t.- L _ .... , ........ ,. .j. . (Address (City) (Zip Code) (Contact Person) 4P.14V (Phone) APPLICANT SIGNATURE . ..- I..-i ONFALP ,Nrimb DATE / 'W-clIP - j APPLICANT PLEASE COMPLETE BELOW Size of water service /- ,., inches. Location of any couplings from strUctureA/A feet. Type of sewer pipe. 0 ABC 21 PVC 0 Cast Iron Estimated length of sewer line tS2 feet. Clean out(if required) located at /CZ feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Conel&Muiti-family 1%ofjob 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 $ I 50 TOTAL PERMIT FEE $ A . AA -;± (Office Use Only) 211 " This Application Becomes Your Building Permit When Approved Paid Re eipt No. ,. . . ... .. Date -,'Art: 9 Po Buildine Official ---: th------7W-------- da At 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 r 0. R,/04, CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMITDate Recd , ; �' 15 4'1�1'rvEso fit' r ease a or riat and si n at bottom z re„ Fc!,'; PERMIT NO. ADDRESS 3 Yellow Applwam �� Sl(/, l ) 1 ' / 1, r}i�..,e; /I i ZONING(met use) LEGAL DESCRIPTION(office use only) LOT j 'BLOCK ADDITION OWNER PID (Name) (Phone) (Address) APPLICANT ,if - (Name) -1 ' 1 1 ,,,i c.- x _ rp (Phone) (Address) t `�, (Contact Person) �'\ ) ( , (C'tY) (Zip Code) k ' ' (Phone) APPLICANT SIGNATURE A. DATE 1 / APPLICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE A D MODEL A '' \ V'1 ` \ \1 a� i n FLUE SIZE 1 .1, 1 �' sl ` r FUEL RETURN OPENINGS INPUT TYPE OF SYSTEM 611._,4"6-) OUTPUT �� 0 HEATING OR POWER PLANT T (]Warm Air Plants rav;ty 0 Steam PLEASE NOTE: Mr Conditioner III echanical ❑Hot Water Units and Fireplaces Cannot Encroach if. it Conditioning Radiation into Required Side Yard Setback. Vent.System ❑Special Devices 0 Fireplaces with Box Additions or ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL Industrial,Commercial&Multi-Famil y 1/o o FEE SCHEDULE of job cost Residential,Gas Fireplace Residential,Heating&&A/C(New Construction) $49.50 minimum $49.50 Residential,Heatin $149.50 Residential,Additions&Alterations g Only(New Construction) $64.50 $49.50 Residential,AC Only $49.50 The Minnesota Statutes*326B.148 Building Permit # "SURCHARGE"has been changed for one HEATING PE year effective RMIT FEE $ July I.2010,until June 30,2011. STATE SURCHARGE $ SO fi., he minimum surcharge fora"filed fee"permit TOTAL PERMIT FEE $ is S beginning July 1,2010 - 1, r A IThis Application Becomes Your Building Permit When Approved Paid ) e t � Receipt No: ,�; 0,,;(1 r* Bodine official Date Date11111111111111 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 d446 nol,m..Ca.o..r C r D ,..a... RR:.-�......a.. ee1,1y ti - `°-t O� PRIO >�• CITY OF PRIOR LA "` KE PLUMBING PERMIT , Date Recd �U� r jJrl' � lF,rl`. NE504 L2015 ..J i 4 ,rt k Lease or I.Blue Ale -----7::::::.i__..__r ADDRESS t attd si at bottomz.rotaPERMITNO 3 Yellow A'"• ' /�` __ -. p PpRrant s G. 4 R t 11 if // tit) 'til 11 1 ZONING(office use) LEGAL D TION t ;�\il s( (office use only) LOT BLOCK ADDITION OWNER PID (Name) (Address) (Phone) APPLICANT ,91 I (Name) 1 I\,' ', \ (Address) ! ' l (Phone) (Coma �. ,� 1 (City) B (Contact Person) � � -a`. i ` s31 '�. f' ,, (Zip Code) APPLICANT SIGNATURE <, ,; _ (Phone) ,11 i` �- '`_--...._...t. -- DATE {1 ,, •uanti APPLICANT PLEASE COMPLETE BELOW ____ _' Bath Tub with 4T4r 1 Of Fixture shower ummitil uanti ��e ofFizture Dishwasher Rou:h-ins Floor Drain Lavato athroom Sink �� Water Softener Latin, Tra I or 2 coin.artment sink IIIIIIIME Stand Pi �. Shower Stall ashin: Machine �� Sinks 111.1110.�� Sewa_e E'e Backflow Asseznbl nommi Bar Sink �� Backflow Assembl Test Water Closet oilet Lawn S'rinkler jummin Other Industrial,Commercial&MuIti-family 1%of job cost with FEE SCHEDULE $49.50 minimum Residential,New One& 149.50 Residential,Additions&Ate ajo $49. The Minnesota Statutes§3266,148 st $ , IV Alterations "SURCHARGE"has $49.50 been changed for one �--�--- Building Permit# year effective July 1,2010,until June 30,2011. PLUMBING PERMIT FEE The minimum surcharge for a"fixed fee'permit S • is S,beginning July 1,solo . TOTAL TA 71 T TE SURCHARGE $ AL PERMIT FEE $ 50 ThisApplication Becomes Your Building Permit When Approved t'.;.'"1./Paid ` , a ReceiP' s"� 'X Buildin>r Officiat Date r!A i Date By 24 hour notice for all p * inspections(952)447-9850, '; °�' 4646 Dakota Street S.E. 7 Minnesota fax(935727 4245 ,Prior Lake, 55372 04 rfizro CITY OF PRIOR LAKE Vic �y HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Recd U r; trf 7, #3411749 - 0001 I.Pink File PERMIT NO. 4ffh'NEsOl� 2.Green City / (Please type or print and sign at bottom) 3.Yellow Applicant /�,O�! ADDRESS 2618 WATERFALL WAY NW ZONING(office use) LEGAL DESCRIPTION(office use only) 9� J LOTS 4BLOCK ADDITION � i074)-l//� j E Q//I,J PID 016=-1/4— OWNER (Name) CENTRA HOMES (Phone)#763-772-1000 (Address) APPLICANT (Name) Fireside Hearth & Home (Phone) #651-633-2561 (Address) 2700 Faireview Ave N Roseville, MN 55113 (Contact Person) Leah Lodermeier__ (Phone) #651-638-3312 APPLICANT SIGNATURE l& f!z LderG444 j-/" DATE 7/28/15 APPLICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION ❑REPLACEMENT QALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE:Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity QHot Water ❑Mechanical into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices ❑Vent. S stem Cantilevers to the Outside of Buildings Y QOther Devices Require a Building Permit. FIREPLACE MAKE AND MODEL HEAT-N-GLO / SL750 FEE SCHEDULE Industrial,Commercial &Multi Family I%of job cost Residential,Gas Fireplace $49.50 Residential,Heating&A/C $49.50 minimum (New Construction) $149.50 Residential, � ditions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residet :1, . lI Ch y $49.50 Cost$ Building Pe # A HEATING PERMIT FEE $ , STATE SURCHARGE $ 5.00 \ Irk TOTAL PERMIT FEE $ This Application Becomes Your Building Permit'When Approved Paid •nAl Date sz . IIIIIIII Building Official Date 24 hour notice for all inspections(952) 447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 , PRIOR LAK" DEPARTMENT OF BUILDING,AND PPCTION See in File INSPECTION RECORD SITE ADDRESS 26 I1 -- - A ' - NATURE OF WORK �" USE OF BUILDING i op _ �� V� 1--�' PERMIT NO. ��� vi f / DATE ISS 'ED CONTRACTOR - , 4 -F#C4PHONE 763 7-z /000 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING FOUNDATION (Prior To Backfill) RADON RETARDER PLACE NO C NCRETE UNTIL ABOVE HAS BEEN SIGNED f %5Afethligesk ROUGH - INS SEWER/WATER/SE PTIC FRAMING w4. .74-- I I ,,- INSULATION ELECTRICALP15 e(jq7,� G PLUMBING HEATING FIREPLACE GAS LINE AIR TEST ,RADON , 1 p;nq )1/9/14% ,L, 1-_ RS to 7 COVER NO WORK JJTIL THE ABOVE HAS BEEN SIGNED HOUSEWRA P LATH I I I FINAL GRADING ( PRIOR TO SODDING) r/t �, 6-46- BUILDING ELECTRICAL EMI r /G ZO PLUMBING HEATING (4 1.• 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 � p Builders Deposit ` City of Prior Lake A$2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued insure compliance for a Final Occupancy Permit. (It is not an escrow account) All exterior items including not limited to grading, sodding, landscaping,tree planting, driveways,siding and painting as completed 180 0 days after the date the building but permit is issued. If the work is not complete within the 180 day time p Iriod, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify situation. $2,500.00 A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a io the 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 BuildingCon period of handout. tractors DATE: 4-26-2015 SITE ADDRESS: 2616 2618 2620 2622 Waterfall Wa NW PERMIT REFUND TO BE MAILED TO: Centra Homes 11460 Robinson Dr NW Minneapolis, MN 55433 AUTHORI ATION TO RELEASE _ PLEASE REMEMBER /' 4Z j-"�� d 1. KEEP STREETS CLEAN DURING CONSTRUCTION Lynda S.! ateen,Budding Services Amount 2. KEEP EROSION CONTROL IN PLACE Acct.801.20204 Date 3. TEMPORARY OCCUPANCY PERMIT MU KNOT EXPIRE OR$500.00 WILL BE FORFEITED of SIGNATURE: /J FOR SECURITY PURPOSES THE FACE OF THIS DOCUMENT CONTAINS A COLORED BACKGROUND AND MICROPRINTING IN THE BORDER � ;u� r'ra;�`'�r,�'��' ':. ♦?'��`t-?J.`rr?,t �" t �,. .,� s .. � :. : � fart. "? '� � 1�.5 t �4 r rrwrr♦,f: f� Y �" -l.xy �kW.r�"?,+'�& f�Yy..•�i..r .! 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