HomeMy WebLinkAboutBuilding Permit 13. 1366 x A A A x.:?/ t�,, , , N y N IC ,, y tip/ X , X a X
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CITY OF PRIOR LAKE
!rparfmrnf of Puittlittg cttspi tfiun
1::i'.-E' ] 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
rordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification SINGLE FAMILY Bldg.Permit No. 13-t3 66
, Occupancy Type R3 Type Construction �� Zoning District R3
Legal Description L21 , 4, WENSMANN FOURTH ADDN �)
, - 2586 WATERFALL WAY
Owner of Building Site Address
M S
Contractor's Name&Address CENTRAL HOMES
ROBERT n , HUTCH I NS
(XCity Planner
Building Official ,`
Date: J f? l LP Date:
/ POST IN CONSPICUOUS PLACE
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��' �' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
//
,. ` AND UTILITY CONNECTION PERMIT
'LrikNBS° q File Ma41.whn, riic PERMIT
3. Pink ',ppt NO. 13 13 ‘,•
3.1,lloa• \pplicant
(Please type or print and sign at bottom)
A nnn FcQ ZONING(office use)
z5-86,
Waterfall Way Prior Lake, MN 55372 R, 6
LEGAL DESCRIPTION(office use only) 1 254180970, '54 Q 2.-)
21 Vitae 4 25418099Q, *2-&r4'3 e cf)
LOT BLOCK ADDITION Wensmann 4th PID
OWNER 763-772-1000
(Name) Centra Homes (Phone)
(Address) 11460 Robinson Dr NW Minneapolis, MN 55433
BUILDER Centra Homes 763-772-1000
(Company Name) (Phone)
(Contact Name) Jon 5olomonson (Phone) 612-242-5046
(Address) 11460 Robinson Dr NW Minneapolis, MN 55433
.ti _
TYPE OF WORK n New Construction ❑Deck ['Porch DRe-Roofing DRe-Siding Clower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: E IRC ❑I.B.C. 0 Misc: _ -
Type of Construction: I II III. IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 13,5,978.35
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information ort 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 constntction 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 I
nit or'ust c„,e. F �re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x . �/ BC638832 (I )`7! 13
Signature Contractor's License No. Date
Permit Valuation ' - Park Support Fee # $ —"
✓' SAC # rT`T� ,t2 i
Permit Fee $ '
Plan Check Fee $ g',.,;'5,- /,q Water Meter Size S/8" 1"; $ `-10
State Surcharge $' c'e ��� Pressure Reducer $ // ) i e
Penalty $ ---.-- Sewer/Water Connection Fee # $ /C— I,e.i
Plumbing Permit Fee $ /51/ CC Water Tower Fee # $ /(:67;. e,,,,,
Mechanical Permit Fee $ /S-4.
5 4 _ -i Builder's Deposit $ l5-L[C "
Sewer Sc Water Permit Fee $ ! 5-67, G; Other c,y , �,G/7,E,:, $ 7 `7 --e'
Gas Fireplace Permit Fee $ t�jjl- C-6, TOTAL DUE S •J /l/."�. /P
This A t licati,n Be/rtes Your Building Permit WI n . ,proved Paid /6/ 74, 2- . / Re • t No. 70°7
Date / Z ,/3 f EY
&I /i� i Z 5—/
" l3ttilding;Officiatl fate
This Is to certify that the request in the above application and accompanying documents is in acc dance with the City Zoning Ordinance and may proceed as requested. This document
when signed t 'ity Planner re nstitutes a temporary Certificate of Zoning complia: a and lows construction to commence.Before occupancy,a Certificate of Occupancy must be
issued. cif,1
(L i3
P e"'^7hrector Dat 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
I
Residential Building Permit.Checklist
New Construction for Single or Two•family Dwellings in R•1 o R-2 lstricts
Reviewed by: i. - Date: t 2. 5" /3
•
Building Permit# PID: -----"."111.11' Zoning: iz _
Address: 3
• 2 S-k, -,- 820 . y'p . cr2. t..A441-rot2Ar-olx-Q__. / (.7
Legal: L , B Subdivision:
Existing Structure? YES Existing Nonconforming Structure? YES I 1 0 •
CONFORMS TO ZONING IV NO
ORDINANCE
1 Yard Setbacks; NA I FAILS!C P ES Standard Proposed l
• Front Yard(can be 20'if av w/in 150') 25' Z4_ -c. Z ,
• Side Yards 10'! I
25'if abutting a street -Z-1 +
' 2• Ft•+A-Fra ID
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required 2"!1'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line. • — I
• Rear Yard 25' -ro 17.C, L.t,i1
• Patio Door: provide for minimum 10'deck or sign 10'side!
statement indicating no deck will be built in the future 25'rear
• From 100 year flood elevation of wetland/NURP 30' -
pond. _.._,
• Refer in-ground pools to the Planning Department
• From 0HW(Prior or Spring Lake) 75' or setback average of
adjacent structures,but no
less than 50'
I Floor Area Ratio: NA!FAILS!CO4ES I .30 Maximum I r',-)P
Yard Encroachments: FAILS(COMPLIES Standard Proposed
Eaves and Gutters no a than 2 feet in width and no
closer than 5 feet to a to line(Easements).
NC and other equipment cannot encroach on interior
side yards. •
Tree Preservation: N (FAILS!COMPLIES Standard Proposed
• Total caliper Inc es
• Permit 35%Removal
• Caliper Inches Removed
•• Caliper Inches Preserved
• Reacers tf '/:1
L:\TMPATE\BLD GLIST.D 0 C
boot
Yazoo
White - Building
, ����. Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,P�rl4 .2I�S
APPLICATION RECEIVED � Z 0/4 • /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
a35-,6 gS7 q.Oi -6;?- zL Zoi()-7
Accepted )(9 Accepted With Corrections
Denied
Reviewed By: Date: /2 /0 ~/3
Comments: See Reverse Side far'Additional Information!
See Attachments: 1) Grading Plan. 2) Erosion Control 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."
PR/0-
White -Building
,�'Mvssdt� Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT4 &"S
L
APPLICATION RECEIVED //' Z £ /3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
9DI 2_ Ze_)/q7 •
Accepted ✓ Accepted With Corrections
Denied
Reviewed By:
Comments: / • 64-es,..v-, NA-r.'a , -✓
&CeA4-^J 4- 4%...
"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."
rAnti°4
White -Building
, �, Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 0g7:>7/6)1/4..S—
,
APPLICATION RECEIVED //' 2 0• /
The Building, Engineering,'and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
g8 /O1 9 2 ‘(i r. 7 iG Zig-<7
Accepted ./ Accepted With Corrections
Denied
Reviewed By: / -+°• Date:
12/
Comments:_
"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."
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: 5-28-14
PROPERTY ADDRESS:Z,S`66 Waterfall Way
ACCEPTED BY APPROVING AUTHORITIES(NAMES)
PLANS ADDRESS:
INSTALLATION CONFORMS TO ACCEPTED PLANS • YES ❑ NO
EQUIPMENT USED IS APPROVED • YES ❑ 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 • YES ❑ NO
IF NO,EXPLAIN
INSTRUCTIONS
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: • YES ❑ NO
1.SYSTEM COMPONENTS INSTRUCTIONS • YES ❑ NO
2.CARE AND MAINTENANCE INSTRUCTIONS • YES ❑ NO
3.NFPA 25 MI YES ❑ NO
LOCATION OF SUPPLIES BUILDINGS
SYSTEM ENTIRE BUILDING
DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY
Reliable S.W Fl 58 2014 1/2" 155 16
Reliable Pend Fl 58 2014 1/2" 155 32
Reliable Dry F3 QR 2014 1/2" 155 4
SPRINKLERS
CPVC with,CPVC Slip fittings
PIPE&FIT NTI GS /
ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST
ALARM VALVE CONNECTION
OR FLOW TYPE MAKE MODEL MINUTES SECONDS
INDICATOR Vane Potter VFS-R v S^7
DRY VALVE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
TIME TO TRIP* WATER AIR TRIP POINT TIME WATER REACHED ALARM OPERATED
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
El PNEUMATIC El ELECTRIC ❑ HYDRAULIC
PRip Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT _ 10
+ goor /3—/36(c
.
Blue File
2.Gold City. PERMIT NO. 13 -f.3
3. Yellow Applicant `_
(Please type or print and sign at bottom) / 3 � 3 6
ADDRESS ZONING(office use
7 8 ' zSgz Wf ice' (A /3 - X31
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) SCi,T S (5#5,/��.�, 7 (Phone) 76 3 "-c5 /7
(Address) / 7 3 3 oaf ,S 7--
(Address)
(Address) (City) (Zip Code)
(Contact Person) (Phone) 7C. 3 --(75-4-
APPLICANT
-('a -APPLICANT SIGNATURE / DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
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
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ Building Permit#
PLUMBING PERMIT FEE $
STATE SURCHARGE $ 50 ��i���D Uhl f
TOTAL PERMIT FEE $
TH
(Office Use 0 ly RANT
This App tion Becomes Your Building Permit When Approved Paid Receipt No.
(C 41 - Date By
If
in I cial Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
( 'o*
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /. 27. 14-'
.. x AND UTILITY CONNECTION PERMIT
U /3 a1.341P4
�! 'SP' I. White File
2. Pink City
NNES� PP PERMIT NO. /3, /347
3 Yellow A licant
(Please type or print and sign at bottom)
ADDRESS I • e. i
a5160 1 qc6 , 9 2 be -eraf(
2
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OR ( 1 t if-✓G /40 ei-t e- (Phone)
(Address)
BUILDER
(Company Name) 5l/ �
/ ,vl/7 L- F7rc____ Ai e r"cep (Phone) 6, S / 2 5-1--( C .c---)
(Contact Name) �-1,-5 5 PT'1h'- (Phone)
(Address) S7 5— /4i/.rte/c 4c A,e, W- `3J IP,J 1, w/,) '`5 s(U
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition DAlteration ❑Utility Connection ,�-
GQ Misc. f frC 5 .n/e ter-
CODE: DI.R.C. I.B.C.❑ 0'" q 0 o
Type of Construction: I II III IV B PROJECT COST/VALUE $ 7/69
Occupancy Group: ABE F HI M ® S U
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 pro. rty 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 i •ermit for just cat, urtherm re,1 hereby agree that the city official ora designee may enter upon the property to perform needed inspections.
Xc_ o2S-- / - z3-- /y
Signature Contractor's License No. Date •
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee . $ Water Meter .Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other � p�*��
Gas Fireplace Permit Fee $ TOTAL DUE ��' l*''
T ' p kation Becomes Your Building Permit When Approved Paid Receipt No.
Date By
12?
Buildi a 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
16200 Eagle Creek Avenue Prior Lake,MN 55372
E 4 pglo Date Rec'd
CITY OF PRIOR LAKE
v SEWER AND WATER PERMIT
4„. . ,y,
„Bs.
z xsuo
t. Greenw ri,ec�cr PERMIT NO.13
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
e2n tier- ( ay NW PY)6y ( 14410
LEGAL DESCRIPTION(office use only)
Adok
LOT2( BLOCK Li ADDITION Wein.Sw,aHA y k.(' ( PID
OWNER Ce J7t2A \-6144C—$ '763-722—)O/
(Name) (Phone)
(Address) )I (vd Pc it✓t56n DR- AJ J eczNiLletds , t'ti J def 33
(Address) (City) (Zip Code)
APPLICANTn� i p j
(Name) It-L... (-toff.*ditiq 1k V&4Th5 ..t_m c- (Phone) 6 I2'a2?..) ' cei
(Address) R 6 Et'A 90 IMQIVIY0e / y14 SS-34 3
(Address) (City) (Zip Code)
(Contact Person) 1<lei V\ ;/1/5:.-
/ ' (Phone) ( -a/E-2" crj
APPLICANT SIGNATURE 1,../ ' DA 1'h / lib b `r3
/
APPLICANT PLEASE COMPLETE BELOW
Size of water service j." inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ABC [RI PVC ❑ Cast Iron
Estimated length of sewer line Sts 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 $ .4:U i P FTh1 r
TOTAL PERMIT FEE $
(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
. p
Builders Deposit
,..T,f,g ':,'
r , 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 fora 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 Buildi . •
handout.
DATE: 11-12-2013 SITE ADDRESS: 2586, 2588, 2590, 2592 Waterfall Way PERMI �r�~
REFUND TO BE MAILED TO: Centra Homes
11460 Robinson Dr NW
Minneapolis, MN 55433
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
________,Q. c '
S' ATURE: 2.
AUTHORIZATION TO RELEASE
L da S/ len,Building Services Amount
Yn
/- /3./6 Acct.801.20204
Date
40: .. 4 y5 Q1alk'.
tv z. iLn £ t t $ 4}ks
n
Cehlwu. lomesj I:LC 188$553-448 ,..:,,_:,,,,,---,-3:-.4,,c.„12,==,,
ver klembank ram ,
114 aoa son DrneNW l5-1565 910,'
MinneapoTi a!!!!4,1,,,,-;5433 d
'-'4'-'-;','Zi ,
PAY "'-"--?,,,. .t:,,,?,-..i;":4:23'-§0 bpLLARS AND 12 CENTS ;
f DATE' '�
HE s� � �'
K ORDER OF,, t �t t 1 ems' a,,r >
/1"2,11,31, 01...4
t j «rtr*?r;y
,,,ug : t7 of Prior La` p7 -''''',.;,0;•,:.4. . .
c s�t } i t --,'!;-',.,4`‘',';..;,,-,,c.,t . •3 r 't p-, { "
5 464 'Dako'la StYeel E t
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1110 SO LB Lila .I:09 i9 L56541: 0003 25663 Ln"
PRIOR LAKE 3! PSPEQIN
BP am
F xle
INSPECTI9N RECORD
SITE ADDRESS 257 WA? �1 1' 1
NATURE OF WORKS !� C_zo d wl t= . . F' tt-`iii
USE OF BUILDIN _,�i .P ' iVo PD ;c '
PERMIT NO. y�� DATE ISSUED
CONTRALTO PHONEWIP 3 ffl. /e
INSTALL EROS 0 N TOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
FOUNDATION (Prior To Backfill) N 42t i zip I
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS 6E00 SIGNED
ROUGH - INS ' �\ $ � )1
SEWER/WATER/SEPTIC Ll u.,A L'un;ts I2 Pb 121st 1_
FRAMING t4A 71
INSULATION '/ * /
ELECTRICAL
PLUMBING is 0G eicA. ,rn -,,,i1,71/2/2 277) 44/4 f4 w/HEATING i 1;41.1
FIREPLACE ,' � /
GAS LINE AIR TEST M• 4 vw.:4-., P4 / 1��1
RADON RETARDER „Poi/ ,34j/'/' Ok/ 6
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
j1 eil1l �`N F FINALS 9P' 0 r5 cel (4
GRADING ( PRIOR TOS DING
BUILDING h-, /1/1.c e6 t 131(
ELECTRICAL
PLUMBING w e #/ > ,
HEATING S 1
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIG 'E
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