Loading...
HomeMy WebLinkAboutBuilding Permit 13. 1368 ,. _. ..i _, 1_.,is E f _.i.in_.11 ,r ,. ,..,'c ,,J,il ,i1,IY, 1..11_.7tihi,,,in V i:iitiVr.E''',' 11 'E 'I': ,.i .':1',. ,.._,1, 1,. ;:' ._ ,. 1 ii El, ,, i..11,_fl 11_. I D 301i1d Sf1Of10IdSNOO NI ISOd :aauu 1)1 Li 1 :azuQ � ,. \g Iui°1.330 8uippng zauueid�it� SN I H3l(1H ' Ql 1d.da0� K S i L O H V J .d3 ssa1PPV'8 URN s,iolaunuOD ssa a7' tut m JO.iaUM AVM YIVd 1VM O6S iPPF� s Pt. g0 y Ntitiv rllb(lOJ ��YiIYSN.iivl 'pa ' (j - uo9duasaQju3a1 �U ,ouisiU duiuo, NA\ uoraannsuoo ad,fy id ad4�fauudnaap C7 91{� nn,! �+ LU N,, v9 .I. 1 .oN 1iuuod'$PI8 A f I W V d dl 9 N I S u26.4u3gissujp asn K :BuiNtollof alp od •asn Jo uoiyandysuoa 8uJp/inq 8u?yvinXaJ a4v7 Joyrd jo 0 ay Jo saauvuzpio snolwa azlj gyzna aauvgdulod ul svn4 aanpanrys sig' aauvnssl Jo azul' agp iv ivy., dupCfiiiaa apoj 8uzplmg lvuozyvuzayuj❑7lvgyuapusay D alp fo pII uoipaa,�Jo syuazualinbaj alp oy yuvnsdnd panss!aiv3!fiIJaJ szzii sauidxg '0 D tjuoi1 puoD ❑ poll uuaa i1ui31 uotlaatfsn1 guigit�4 o pixa lfar fa » x � OIlldAOAII� , i i i i i i w i I� wi i I i III�� i i i!I� 4(1�, i ���li {V i n ii• i i i i i i �. y�yv `�F ,�"� ' ' ��fi., a,rt 1;.:��� ,....:.:e ..;. _-:.r, ._x,:,..__ �.,._. �4 ..� .. ._.e .._. _..,.....,._ ..a 'r:_7r. w-•- �f= ,.. ^�� ,..ra3.�, x'*:Fns...... �,l,.d.. 2L.:.._....... _..w..,_....._. 2 4 col— us 11 ■ � � ui § -< 22 !�� I •. 000000 >� \\ a5 Q a. z? :.it >z c4 U. / Z 5_01 2 O. UJ© k 0 k J z ■ z @ P ri E ■ 0Q0 - 0 w « ku Z Ce 2 _ 2IZ 0 c § § 0 0 m � ■ ■ m � Z j§ § § j§ � � 2 w x § a ■ ■ ■ a ■ w § w 000000 0 0 § Z % a aIOC 944 uj kI UO 03 % u Ow z o z w & w �z e �� � $ 2 � o o w �R Co § § � � � ■ W a & ZCt § � U w ■ op :3 « w 000 t Q U �K 0 § 0 c) c) 0 ■ u u f § ■ a 0 a DOOOO 0 O 0 0 J Wz 1r a � W = V V W I Q 5552 c 0WW0 • � l00 a O WLLLLrc Z 6. MO ❑ ❑ ❑ ❑ ❑ W co cc , v \ CL _ u. N W L Z sq W a aaa z o 0 W o )- Ea 0OU. J 11 0 d W D OO a a Z v w N V W m = W re m= d Z a. ZV < 0C) s' 0 O co F' O JWa JW ,,;- W W W W a � $ v) a � C) U rt z ❑ ❑ ❑ ❑ ❑ ' � Oa' O = eg U r.6 a a u. F- } Z J R' W uj r , 0 a V 55V O , � fig a 0 J O Z H •• ` N Q vP tGy C Z O 0p W FN I a F- F- v o� (9 a O F= N Z i C0 V J d0 CO) z ZC? 5 Z w , Y OWC cc O Q q u.V W W ~OgZOJ C0 � O O C �y V V OW d' W Z OO�y � ; C) V d a 0 0 u u. U. U.U) 0 u, m (1 ❑ k❑ S. c� z 0 0 a 000000 C.) -- cd PRr6 Date Re CITY OF PRIOR LAKE BUILDING PERMIT, of •. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE h AND UTILITY CONNECTION PERMIT i ', ZD. `d � u , M_ -... I, bite Fay PERMIT NO. I. Pink City ti 1 M�NH88o�r 3 Yellow Applicant jai ZONING(office USC) Please a or riot and sl:n at bottom 44,4.- 3 ADDRESSr LEGAL DESCRIPTION tot ice use only) .a PID J� �s �, LOT 13 BLOCK .4-• ADDITION ',,/. i't`t"�`°� 1� /VA/ OWNER (Phone) (Name} (Address) f Q ?4 3. 7Z2- BUILDEIi (Phone) f CEW HOM 6.S l . 2 2 . 5 (CompanytName) `�OON 5�1 L-'�M C�/v s© (Phone) ea ' J 3 (Contact Name) *-� ,,/ / Al W H I At /� (Address) /I'��'0 R®6�/vcco/'� Q .' 00 +®A TYPE of WORK oConstruction ❑Deck Porch (�l?e•RooCtng ❑Re•Siding ❑Lower Level Finish 0 Fireplace ■Addi Addition ❑Altlteration [JUtiltty Connection Mise. 6]I.R,C. DI.B.0 A B PROJECT COST/VALUE ________-----129,070.71 CODE: I II III IV V Occupancy p of cy Gil ftp: A B E F III MR SU (excluding land) Octupartcy Gronpt t 2 3 4 5 Division: tans I�m aware that the t foil the have fgrnisited information on this application which is to the best of my knowledge tine and correct, i also terrify that 1 am the owner or authorized agent ort c (hereby certify that t henter upon the property to preform needed ntspcctiuns- ng ab�ve-mentioned property and that all construction will conform to all existing state and local laws and wilt proceed in accordance with submitted 11-26-2013 official can revoke this permit for just cause. Furthermore,i hereby agree that the city official or a designee may Phate X 6 fst. ls<,c Contractor's License No. Signature Permit Valuationrifilfaigliffita. � Wi Park Support Fee lille=1111111 _Ai SAC Permit Fee wurywaramii '811 1,,i A Pressure Reducer UllrAglllg Sewer/Water Connection Fee Penalty Water Tower Fee # Plumbing Permit Fee ' r iir i nalliBuilder's Deposit [/J t� Mechanical Permit Fee UMMEffill Other l! �'.SS� Sewer Water Permit Fee TOTAL`DUE ��f� � Gas Fireplace eplace Permit Fee � �-�'tallo. Arsormi Date Permit When ppm ed Paid � This Appl att. .:eco,res your Building 1,7 tea_ Date • l3uiltlitt�Official rncced as mquestcd; This dixumcnt application and accompanying documents i••n acm fiance with the City Zoning Ordinance and may p' This is to certify th he re 1 c ins n above app ra Certificate of Zoning complia e and. uws construction to commence. Before occupancy,a Certifteats of Occupancy must be a P � r cram(totes A.temporary when signed b�� issued 4/ 1 j, Planning Director _'11111111110. DatSpecial Conditions,if any 24 hour notice for all inspections 19521447'9850'tax 55372 447-42454646 Dakota Street Prior Lake,MN I -PRIO. CITY OF PRIOR LAKE Date Recd -• 4 ' o,t .,�:z ; HEATING/AIR CONDITIONING/FIREPLACE PERMIT g 411VryHSoSt, i.it n rcily I PERMIT NO.z Ome i.Ydluve avpueln _._.. _ ......_..., .(P�l7c�.ase�.typ}e�.1oo[i,r print and sign at bottom) 11 i ta:1J1J.i�J:SS- ZONING(office use) _.-69'() A Qi-e...Y.Coll ) a. H LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ' OWNER • (Name) C (Phone) _ (t n 7�l Lia . (Address) I ( 4 Loo o f b o t n SUY Tb V V " • APPLICANT HEARTH&HO E- ' t• • (Name) dba FIRESIDE HEARTH &HOME (Phone) 4)51" (05- . Lid C662656 (Address) 2700 FAIRVIEW AVENUE N Ta.)t CfE.1-103 - Selly RO EVl .E, MN 55113 651.633.2561 (Phone) i- a h I-(P 6- 5312- (Contact Person) APPLICANT SIGNATURE ... a L,,/ ..4ie, e. a DATE / _ • — 01C.-O a/ Or e-rrtc i 1. t-iMat I ¢c4vi 1 e By bps • betdc pe_Y_Mi+s.'4r, APPLICANT PLEASE COMPLETE BELOW a hurl- t n h1 •t_� ©I4W CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL - FLUE SIZE RETURN OPENINGS INPUT — OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner • DWann Air Plants 0 Steam Units and Fireplaces Cannot Encroach Elqpity 0 Hot Water Into Required Side Yard Setbacks. echanical. 0 Radiation Fireplaces with Box Additions a ❑Air Conditioning 0 Other Devices --- Cantilevers to the Outside of Buildings ❑Vent,System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL lV, ia. 111. i "li FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $L49.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64,50 .Residential,AC Only $49.50 Estimated Cost$ Building Permit II The Minnesota Statutes C 32611.148 "til:RCHARCir Itis been changed I•ar one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1,211111,unfit June 10.211I 1, TOTAL PERMIT FEE $ The minimum surcharge On.a'Twit fee"permit _ is 5,beginning July I.2010(Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. ", ''• - Date By yt, w +�, ,. Building Mint —Date — • p W.j,. t t'",t.., 24 hour notice for all inspections(952)447-9850,Ins(952)447.4245 .- 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i PAR�o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ° TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /� �1 i. 14-' AND UTILITY CONNECTION PERMIT • l'� U /3a13(4 Q. I. White File PERMIT NO. /3 /367 �-NNEs0� 2. nk City 3 Yellow Applicant • (Please type or print and sign at bottom) / ADDRESS I T Q / -a5C110 1 q C6 / '5' -i-- 2- 1,0 ct f-e,a /1 bog? . , , LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O(Name) Lie /40`''' e-.=2) (Phone) (Address) . BUILDER 6' S k 2 57 CJ (Company Name) 5 , /f F7v� 1O/er--f«� (Phone) (Contact Name) i;3' --t c- 5 (Phone) (Address) S7 5— iV(rl s?e ilq 44 Ave, Lv- , ea-i( pl� ---5.--/0 ) TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish. 0 Fireplace DAddition DAlteration DUtility Connection Q Misc. r re 5pr/„/L le/ CODE: ❑I.R.C. ❑I.B.C. o o Type of Construction: I II III IV (9B PROJECT COST/VALUE $ 9 7lq 0 Occupancy Group: ABE F HI M a) S U (excluding land) Division: 1 2 3 4 . 5 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 re2et i permit for just cat" urthermre,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. 0 ? . Z3._ /Y SigX nature 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 $ Otherjiatin*Ar't' Gas Fireplace Permit Fee $ TOTAL DUE /* t'PPO 113971 Thi • t F:a;., Becomes Your Building Permit When Approved/ i Paid Receipt No. �/ Date BY / /:uildin•%fticial ate 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 Date Rec'd °� YRjO CITY OF PRIOR LAKE SEWER AND WATER PERMIT 7 */-NAI E S° 1. crepe File PERMIT NO. 2. Yellow City 3 Gold Applicant r' (Please type or print and sign at bottom) ADDRESSZONING(office use) 2S OD ( R4r- (1 &CI NI� J PO Or ,aie i LEGAL DESCRIPTION(office use only) LOT d3 BLOCK ADDITION j..)ellSlin diIAIA y44" lJ' PID OWNER (C- iJT (Name) (Phone) 763`772— )0/ )1` 66 (24)14sek ( _Mk) C h r24eas �� .55-`f 33 (Address) (Address) (City) (Zip Code) APPLIC (Name)ANT RC ,a,,�,, J (Address) ► n g Ctcc'at tlrtb+' )MC (Phone) 6lv?' eZ S�9'`�l am/ ' gtoin %.7-34,3 5-ei ► a tiJ f�`D �d� INS- ►, Ci (Zip Code) (:,, . s) ' (City) V MAth (Phone) ''2. 'GZ g�-s--171 rev (Contact Person) APPLICANT SIGNATURE DATE /42% f'3 APPLICANT PLEASE COMPLETE BELOW Size of water service ( inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC in 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 connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ ��� � STATE SURCHARGE $ • r Fq5P — I H TOTAL PERMIT FEE $ '�J' �'iist� 17114-34-T (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 4 vRr© CITY OF PRIOR LAKE Date Rec'd °s ie HEATING/AIR CONDITIONING/FIREPLACE PERMIT fif 11141 yI S°° rink File i crctn c;n• PERMIT NO. 3• ' 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS1059/0 \ADOltirs*U .116CW ZONING Office use) J LEGAL DESCRIPTION(office use only) LOT BLOCK AI3DITION PID OWNER (Name) Y1 CA. ,- 54,., (Phone) (Address) ame)ANT GENZ RYAN (Phone) 952-767-1000 ame (Address) 2200 W HWY 13 BURNSVILLE 55337 (Address) (City) (Zip Code) (Contact Person) LON I "E ERSON 1 (Phone) 952-767-1000 APPLICANT SIGNA VvtA , CYT DATE a 3 /U APPLICANT PLEASE COMPLETE BELOW )NEW CONSTRUCTION Q REPLACEMENT Q ALTERATIONS FURNACE MAKE AND MODEL g-'610 cLryia l'1 + -r S 9 Q']0 3 PjX A FUEL &tt g FLUE SIZE RETURN OPENINGS INPUT 7 d OOO OUTPUT —.?OC) TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ['Gravity Q Hot Water ($Mechanical Q Radiation into Required Side Yard Setbacks. Fireplaces with Box Additions or [Air Conditioning Q Special Devices p Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&AJC(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only aM $49.50 do P ° t- tri T Estimated Cost$ 57 ! O Building Permi The Minnesota Statutes§32013.148 HEATING PERMIT FEE $ "SIIRC'I IARGF,"has been changed Ibr one year effective STATE SURCHARGE $ ,50 ,la►y 1,2010,until.nine 30,2011. TOTAL PERMIT FEE $ The minimum surcharge For a"titer{fee"permit (Office Use Only) it S4i,,beginning.1111: 1.20111 This Application Becomes Your Budding Permit When Approved Paid Receipt No. Date By Buildine Official bate 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 VRi0 Date E.ec'd A° CITY OF PRIOR LAKE PLUMBING PERMIT , . r 4rlMvl so° I.81'11 "e PERMIT NO361 2.81'11 city . • 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) q . 9/t-,) \,60._40{c-0,A LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION Pu) OWNER (Name) (Phone) (Address) APPLICANT (Name) GENZ RYAN (Phone) 952-767-1000 (Address) 2 2 0 0 W HIGHWAY 13 BURNS V I L LE 55337 (Address) (City) (Zip Code) (Contact Person) LONI PETERSON (Phone) 952-767-1000 APPLICANT SIGNATURE I,. >fr._ 4 , 1/Yt, DA rE —.3 I APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 3 Bath Tub with or without shower _Rough-ins Dishwasher / Water Heater / Floor Drain Water Softener 3 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(I or 2 compartment sink Sewage Ejector ‘.5 Shower Stall Backflow Assembly of Sinks. Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Co. 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 60 The Minnesota Statutes$32613.148 —,st $ �O`7 8� Building Permit# "SURCIIARGl3"has been changed for one PAID vvrni year effective PLUMBING PERMIT FEE $ July 1,2010,until June 30,2011. STATE SURCHARGE $ .so EUzj ;i9 P 'f: 'u T The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ is, ,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Banding Official Date 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: 5-28-14 PROPERTY ADDRESS:a5-10 Waterfall Way ACCEPTED BY APPROVING AUTHORITIES(NAMES) PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS I♦ 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: II YES ❑ NO 1.SYSTEM COMPONENTS INSTRUCTIONS • YES ❑ NO 2.CARE AND MAINTENANCE INSTRUCTIONS I. YES ❑ NO 3.NFPA 25 YES ❑ NO LOCATION OF SUPPLIES BUILDINGS SYSTEM ENTIRE BUILDING DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY Reliable S.W F1 58 2014 1/2" 155 16 Reliable Pend F1 58 2014 1/2" 155 32 Reliable Dry F3 QR 2014 1/2" 155 4 SPRINKLERS CPVC with CPVC Slip fittings PIPE&FITTINGS ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM VALVE CONNECTION OR FLOW TYPE MAKE MODEL MINUTESSECONDS / INDICATOR Vane Potter VFS-R ( !f 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 ❑ELECTRIC ID HYDRAULIC ' AliBuilders Deposit � p I 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 peri 0,0 he the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $2, 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: 11-12-2013 SITE ADDRESS: 2586' 2588, 2590, 2592 Waterfall Way PERMIT#1 • 13 .134 REFUND TO BE MAILED TO: Centra Homes -13. 13 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 1) S ATURE: i �,-; li 6 AUTHORIZATION"CIL_ TO RELEASE `u-1So0.Ud Lynda S. Building Services Amount 1./3. /(o Acct.801.20204 Date ICJe/ni n Centra Homes,LLC1-888-553-4648 www.kleinbank.com • 11460 Robinson Drive NW 75 1565-919 ii Minneapolis,MN 55433 2 5 t A 8 DATE AMOUNT S PAY ******42,903'DOLLARS AND 12 CENTS- TOTHE *****42,903.12 1 ORDER OF 12/13/2013 8 City of Prior Lake . .....---- 4646 Dakota Street SE Prior Lake410111111.11.- , MN 55372-1714 /_ AUTHORIZED SIGNATURE ii;0 5 0 L 8 LII ■ i:09L9L5654': 0003256631,o PRIOR LAKE DEPARTMENT OF BUILDIPCC ANPM RC ' INSPECTION RECORD SITE ADDRESS fa 4 ' •4`` NATURE OF WO- i� � w 15� r F/A USE OF BUILDIN :�„ ,� r l�r�_ �ti-�� _ __��� o '69 Bch PERMIT NO. VfoT PATE ISSUED CONTRACTOR al' r Air Mei PHONE Q 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 k1G tit/9 " INSULATION .? ' ELECTRICAL PLUMBING 0 G f,�2/2y HEATING �) FIREPLACE .1 rt7,/ GAS LINE AIR TEST RADON RETARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH FINALS /� 4/4/ � - GRADING ( PRIOR TO O DING) BUILDING j.el 8/i) t L 0613.4,/ a �'�31�4 ELECTRICAL PLUMBING we P/5 f HEATING 6 2*/ DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNE 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 04 PRl-0 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 2 10 . 1 ¢,,. 4'I NESO* /3-13 2, 1. Blue File PERMIT NO. 13 /3 Cold City 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS -� �, C �jf 3 13h c`�-t.�'' (3 ( 592_ w �l .J .7--- /t L, r ZONING(office use) /367 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) "e4y "i /=tr—✓! S (5.,F- 5//�.., .. j (Phone) 7�, (Address) / 737-- J 3 rte, S„ (Address) (City) (Zip Code) (Contact Person) .�-�roT7-- (Phone) X 3 SZ/7 APPLICANT SIGNATURE / "' /�—ter 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 PAM WI TOTAL PERMIT FEE $ g tt�y, (Office Use O,ly �+ II V t FIA y- This App .1 tion Becomes Your Building Permit When Approved Paid Receipt No. 16 .ine I cial Date Date By 11 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372