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Building Permit 13. 1369
fi civ A Ai"1 A , 1 A W, ,' p6 ,7' , s ' A A ' \,;, i 11_I ��� I.YI� r � 1� 1.' V�I..iL� 1._,t CVI._I fn_:;ii..I�. �,.II.: r YI�.7 I.:III _,I ,� .. L`VY4hl . CITY OF PRIOR LAKE girparfmntf of !niIMu n prr inn Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the E Residential/❑International ` Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use.For the following:2 C r1 Bld Permit No. 1 — 7 t) 7 Use Classification SINGLE FAMILY $ ,Y< anc Type e R3 Type Construction Zoning Zoning District R3 �� ° - Occupancy YP Legal Description L24, B4, WENSMANN FOURTH AMIN Owner of Building Site Address 2592 WATERFALL WAY Contractor's Name&Address CENTRA HOMES = ROBERT D .D , HUTCH I NS //2, City Planner Building Official , j Date: I Date: ' POST IN CONSPICUOUS PLACE \ X \k V%2i • V\' '4V V�V-‘V. V,V, t . ;V f":ti 4 V 3, -V •'V_ V V'-V V V_V 2 ..I I_ t a 2 2 2 3 o us z ��77k z / §22■ > c \ 1-1"1, UluIu.wct ° \ 000000 k 2 9 � 2 A § 2 I.: § 2 m d z O E E Z e o o - v k o \ � � � � 0 2 -� x�k us § o2 i Q 0 111 §$b%§= 2 2 § a2 � a. 2 la UJ � LU � a■■ tea ■ , o ■ z 000000 Id a a0 re 0 I r § . . k U k Lu 2 z I § k § 2k . ! z LU ) « ( u 4 44■z o o E z © 0 r4 2§ d $\\� 2 W NC & q § �� CO z oodtzt 2 0 0 0 E � b ® 0 §off■ z � oQ f ow 0 $ 0 u. u. u.■� § 0 o■ « 0 a cOO � w 0 1u) rz J LL z ZVVa w Z aaa =I t9 6 iu v ��.L 0O ��Q z z t• J f idUti � C9 W co caI ° //�� . 0000 ❑ ❑ io 4: O rt x Oa. N Z m 0 t 0 O » a z v 0 4 o d 1- rg 0 - �1 0 u, 0 j P. = z z _xxz ? a A Z 2 x z o N O a xzww25 , ,?* t.?wa d 41 W v r Z u' a. :E 0000 ❑ ❑ 0 a a ill v(F LJ F IQ z 1- 1 a �y O -4 t V O �I LLyy ow z O z W 1-' < F- `W pC tv O—a, z O OQ=� N Z i i Y 0 UJ / A O z W C UJ re 43 a vcz CL r_LL zi (0 Z � z��g � Z ❑ 0 --• vz Q 0 a 000000 C.) 0 ZN a J 0' ti V Ly r- V F- W W Z fy t= VC1W 5551 o O 2 W W N 0 Z E . W O a 111 re 1000000 0 0 0 w O W Z Zo0 » < Y I- re OW J OU W _ �gZ � p 43 W p i z a • ' 0a z ° 0Z co,i � xw � = O JWJW coZ X LUJ 111 W W k a23v� re 0000`0 _ Z a LL X o < U. el LA W W �� Z O S U a „ar Y 9 CT' O u f' O os D 5I- W Z v, a a O Z v (n � � � 0 Z ` O O W I'.' N V V .J W a Z CO W W L J A LL V CO Cg W O n e� l 0 - 0 O O ft CC Ce 4% C1 C� OGW. G > 0 LLIOa. u�,= �U.0 n1 y Z 0 a ❑00000 V — ( " M CI ❑ c 41 PRi—fi CITY 01?PRIOR LAKE BUILDING PERMIT, Date Rec'd -:, r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . Z�, AND UTILITY CONNECTION PERMIT 4-41„,,,:.....0- S a Mali... ? to rg� PERMIT NO ? City l33 Yellow AiMtteant /3. (Please type or print and sign at bottom) ZONING NG(office use) 25rZ W9-�- P � W Ay A8g3 LEGAL DESCRIPTION(office use only) ,,/ _ / LOT24"BLOCK 4- ADDITION WE,V II N,` 4.711 'ID z5. 4-10. too.O OWNER (Name) (Phone) (Address) BUILDER sL�/. � �� ` 76,3 ?22I 0 0 0 CompanyName) V (Phone) . (Contact Name) ,,/ —OW 4501_0140A/50A/ (Phone) 6'/Z • z4'1 • 5 646 (Address) /1#40 OO/,Vc0i l o . I PI/1 M 1N'A,/ ,47pa1-ts 55433 TYPE OF WORK 4New Construction [:Deck [Porch DRe-Roofing ORe-Siding DLower Level Finish 0 Fireplace Addition DAlteration ❑Utility Connection CODE: LR.C. DI.B,C. 0 Misc. Type of C struction: I II III IV V A B PROJECT COST/VALUE $ 133,891.35 Occupancy Group: A B E F H I M R 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 am the owner or authorized agent for the above-meghoned property and that all consttuction 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 this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. J 8i(f1l 11-26-2013 Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ 7.341' �JC;r, -..--- Pp Permit Fee $ /:.,.6.-- ,, c SAC # STj7O Plan Check Fee $ ,/' b9 Water Meter Siz /8"E 1"; $ i s-le t 00 State Surcharge $ 6.) ,r; Pressure Reducer ! $ 1/0 , 17() Penalty $ Sewer/Water Connection Fee # $ J O,N`> Plumbing Permit Fee $ Water Tower Fee # $ (//7e2�'J. e)e? /� S-0 Builder's Deposit $ 2 Mechanical Permit Fee $ �jWW `'__- Other � �`. _ Sewer&Water Permit Fee $ 56'•5 i 1%f S',/ 'res-s/erj/ $ /„-1/",S t�' Gas Fireplace Permit Fee $ l f, ;-g TOTAL DUES �f/ $/a/ 7.`--7/� 3, This Ap atio•Bc•rmesYourBuilding Permit3 nAp. .ved Paid/v / S/• 3� Receipt . 741j u7 Date I`.L 1 /3 .a By . 1 i -?!�_ /z 5 c uilding011lcial �� Date • This is to certify at the r quest in the above application and accompanying doe ments' in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed a C':'/ Ironer nstrtutcs•a temporary Certificate of Zoning• mph cc and allows construction to commence. Before occupancy,a Ccrtrlicate of Occupancy must be issued. _ Planning Director Date Special Conditions,if any 24(tour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 Date Rec'd crRI°, ..L.i. � CITY OF PRIOR LAKE SEWER AND WATER PERMIT tzf NS 1 Green File PERMIT NO. 1 Gold Applicant � V` 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) *Cr% t2S-qe72- bia iir I Uo9 Mtd )-VIeS‘i LA V-4- 1A/i k) LEGAL DESCRIPTION(office use only) ' ' 1_ - L)41'1". �� II�� //_��,,,f U t �S-V/1C 4 vt i 1� 17)a" PID LOT 1 BLOCK 9 ADDITION OWNER 1/4-- "i2.� 'i4SW&S 7763-?7Z-//b (Phone) (Name) 1 (Address) /1%6 Ru�il n 501) 0,2. JIJ Cr ed , g ,01olJ S, mu 5 3 41(33 (Address) (City) (Zip Code) APPLICANT D / I /a a IF). -,Sq/ (Name) RC- Gv''adika l ��XC'ctua4)k9 , c (Phone) (Address) P.O go k LOS Mae p'ag'e ) 111A (v 3 (Address) (City) /_, (Zip Code) Contact Person) ( R1C (n J (A ct V / (Phone) C1 v)"Z 80)-^ 51 f APPLICANT SIGNATURE DATE /c2h<- /13 APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC V3 PVC D 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 $ y1-�IC� WITHSTATE SURCHARGE $ .50 TOTAL PERMIT FEE $ UiLD NC PE RMF I (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 Date Rec'd °�.p���A CITY OF PRIOR LAKE PLUMBING PERMIT H ti.t ,; 1.Blue Fife PERMIT NO. 2OM city • 3.Yellow Applicant (Please type oryrint and sign at bottom) ADDRESS ZONING(orrice use) aord,— ( -coA\ 1A. -, LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O (Name) 0,,...„,TG`-- C-' (Phone) (Address) APPLICANT (Name) GENZ RYAN (Phone) 952-767-1000 (Address) 2200 W HIGHWAY 13 BURNSVILLE 55337 (Address) (City) (Zip Code) (Contact Person) LON I PETERSON (Phone) 952-767-1000 APPLICANT SIGNATURE 15-14.,•-- crrTh DA 1'h • 1 APPLICANT PLEASE COMPLETE BELOW uanti Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher ( Water Heater / Floor Drain Water Softener 1 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector 13 Shower Stall Backflow Assembi _ 1 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other FEE SCHEDULE industrial,Commercial&Multi-family I%of job cost with a$49,50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes*32613.148 est $ �b 7 O'7 Building Permit# PND WITH "SURCHARGE"has been changed for one �: s yr;- �r r year effective PLUMBING PERMIT FEE $ �,;;�,6 '��i�!�� " .July 1,2010,until,tune 30,2011. STATE SURCHARGE $ 50 The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE 35 $ is ,beginning'July 1,20`10 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 ?RI0 CITY OF PRIOR LAKE Date Reed1 '7L HEATING/AIR CONDITIONING/FIREPLACE PERMIT jNrvt soIP i rna; Fit PERMIT NO. 3 i Yrccn City 0 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS a ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID - OWNER (Name) ' ♦ 0 — _..;� ' C. (Phone) (Address) APPLICANT GENZ RYAN (Phone) 9 52-7 6 7-10 0 0 (Nam(Address) 2 2 0 0 W HWY 13 BURNS V I LLE 55 3 3 7 (Address) (City) (Zip Code) LONI PETERSON 952-767-1000 (Contact Person) (Phone) APPLICANT SIGNATURE ( r1/4.t` nc1 DATE c , APPLICANT PLEASE COMPLETE BELOW !4, 'W CON .RUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL t OOe�.tria,r) ; 6K S 9t 71,3 Bt X A FUEL Ntrs FLUE SIZE RETURN OPENINGS INPUT 70O D 0 OUTPUT G 510 D TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE; Air Conditioner DWatm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. B Mechanical 0 Radiation Fireplaces with Box Additions or ®Air Conditioning 0 Special Devices Vent.System ❑Other Devices Cantilevers to the Outside of Buildings 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 Residential,AC Only $49.50 Estimated Cost$ 5790 Building Permit # The Minnesota Statutes§32(43.148 HEATING PERMIT FEE $ "SI,RC'I IARCiE:"hus been changed kir one year effectise STATE SURCHARGE $ .50 .hely I,21)10,until.tune 30 2011. TOTAL PERMIT FEE $ 1h minimum surcharge for n"lista fee"permit (Office Use Only) is 5, ,beginning.iniy 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt Nd.A D I l Date By °M , e_ .R 7r`T 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 A CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ; N y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I. Z i 14- AND UTILITY CONNECTION PERMIT • 4'NNEset P I. White File /3a* 13(04 2. Pink City PERMIT NO. /3. /367 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS • r T '� a51� q 9 -L- z b0c,(..ec pa, t( tocc2 . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name)OWNE bet ✓e. (/ e-5 (Phone) (Address) - BUILDER (Company Name) %/1.7,�s�i J- rrc- Pio/ee,Xt cc"'N (Phone) S-7-2 S—/( �� (Contact Name) ��n r,5 5 (Phone) (Address) S7r ✓q/ns-re4g4ig A/e, ui. 5l, ‘‘)1)J1 1,;1/1..} SIU ) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish. ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection ,� CODE: ❑I.R.C. ❑I.B.C. ©Misc. 1—frC 5p,-„r/e(P1 q 00 Type of Construction: I II III IV B PROJECT COST/VALUE $ 9 7l 0 Occupancy Group: ABE F HI M ® S U (excluding land) Division: 1 2 3 4 . 5 I hereby certify that 1 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 permit for just caul” urtherm re,II hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X � 02S-- / 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 Gas Fireplace Permit Fee $ TOTAL DUE1140� This • ,pi'•�;;.• : canes our Building Permit When •pproved Paid lallik3Receipt No. / .4 Date By — . o?# /i :urlding Ficial sate 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 • i . . • 4 vitro CITY OF PRIOR LAKE Date Recd - - °'?Y' zy��jpi� • HEATING/AIR CONDITIONING/FIREPLACE PERMIT • '5'�, `FPfTJ __Sys+' . F.; • iNfaese IPk& Fik I �.VGtccn eIk.ry App1 PERMIT NO Gly 3. . 13 r Yellow __.._._T.__._.._.._._...._-. (Please,type.or print and sign at bottom) ADISS'.. ZONING(Office use) . N 2irran - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name), 7�}� IV /� (Phone) �0�772-`WiD. (Address) 1 ( L (p0 Y? k7( fSU l ) NiV �i 1! W • APPLICANT HEARTH &Hi M CGIES (Name) dba FIRESIDE HEARTH &HOME (Phone) ( 1 (953- -5L7( Lic BC662656 ---- (Address) 2700 FAIRVIEW AVENUE N Tat Cra-(p.9)3-- $6By RORNstiallE, MN 55113 . (Contact Person) 65.1,633.2561 i; (Phone) Leah t`(2sk5' 5312_ , . . ` APPLICANT SIGNATURE a r..;�.i . DATE )�/2 J/ i ' 0167F6fay or a-rne\1 rna;l: - nide_ 6i,„older_vp$ , _.__bads_pe.le rri*s APPLICANT PLEASE COMPLETE BELOW a he r-1-1' n h ,Lv ANEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL FUEL • • FLUE SIZE RETURN OPENINGS INPUT _ OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE; Air Conditioner • ❑Warm Air Plants ❑Stearn �❑�G��r tty ❑Hot Water Units and Fireplaces Cannot Encroach y'Mech apical., ❑Radiation into Required Side Yard Setbacks. DAir Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings �t�r-- Require a Building Permit. FIREPLACE MAKE AND MODEL �� is �l n 3) („� - FEE SCHEDULE . Industrial,Commercial&Multi-Family I%ofjob 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 Residential,AC Only $49.50 Estimated Cost$ Building Permit IF The Minnesota Statutes§32613,148 HEATING PERMIT FEE $ "St IRC HARGE"has been changed for one , year effective STATE SURCHARGE $ .50 duty 1,21110,unlit.lune 111.2011. TOTAL PERMIT FEE $ The uiiaimnur surcharge for a"fixed fee"permit (Office Use Only) — is},5,beginning.tuly I,20111 ' . This Application Becomes Your Budding Permit When Approved Paid Receipt No. ., • Building Official _ Date By •"_ 474''' y 24 hour notice for all inspections(952)447-9$50,fax(952)447.4245 Date ''� ' 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:2 S7L Waterfall Way ACCEPTED BY APPROVING AUTHORITIES(NAMES) PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS 111 YES El NO EQUIPMENT USED IS APPROVED In YES El 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 El NO IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: • YES ❑ NO 1.SYSTEM COMPONENTS INSTRUCTIONS • YES El NO 2.CARE AND MAINTENANCE INSTRUCTIONS YES ❑ NO 3.NFPA 25 II YES El 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 MINUTES SECONDS INDICATOR Vane Potter VFS-R j) 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 ❑PNEUMATIC 0 ELECTRIC 0 HYDRAULIC - Pte# Builders Deposit -94 ottott*- 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: 11-12-2013 SITE ADDRESS: 2586, 2588, 2590, 2592 Waterfall Way PERMIT iiiglaillg REFUND TO BE MAILED TO: Centra Homes 11460 Robinson Dr NW 13. I 3_6 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 S ATURE. 1.1,...-2 -_,,' - AUTHORIZATION TO RELEASE i _________i_if27 3-0 O. 00 Lynda .Allen,Building Services Amount /' /� z6 Acct.801.20204 Date liAigit50181 Centra Homes,LLC ,n � � , 11460 Robinson Drive NW www.kleinbank.com Minneapolis.MN 55433 75-1565-919` 2 a PAY * .*** 42,903 DOLLARS AND 12 CENTS DATE AMOUNT TO THE _� ORDER OF \\ , 12/13/2013 ' *****42,903.12 A City of Prior Lake /� 8 4646 Dakota Street SE Prior Lake, MN 55372-1714 4001111 AUTHORIZED SIGNATURE: II'0 50 L8 LII' 1:09 L9 L 56 Sill: 000325663 LII' PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION , 1:An INSPECTION RtCORD SITE ADDRESS NATURE OF WOR ' U S E R B DINWO ��"/ 7�'' ,� PERMIT NO. �/ ! ���� � � //� � < �'�' � /-�.�. t� � �e� ,��� /3�,i, •ATE ISSUED CONTRACTO �j� t PHONE1743-0012-404040 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 GOC, 3/1 _. INSULATION ,70" . ELECTRICAL PLUMBING ‘2,‹ L c,i P/32.7/ 6‘ HEATINGyr FIREPLACE 1 / GAS LINE AIR TEST RADON RETARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED I HOUSEWRAP TH I I t► PP GRAD / /7FINALS < ING ( PRIOR TO O[�DING) BUILDING � JJJ,6 - 69J,TA/,r ot, ELECTRICAL PLUMBING Czl c /A e--/>)/2)63/4 HEATING ;aid DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIG 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