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CITY OF PRIOR LAKE ''
• . _fi b '§ 11 A.
.'16-„,..: pr of Puilltitt cilusjardion , ' ❑ Final Permitted ❑ Conditional C.O. Expires �`
le k, This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / El 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: fi
f ♦ 11)
Use Classification SINGLE F A M LLY Bldg. Permit No 1 —� 1 ��
PUSD
)
♦ 1)
� ' ♦ w -�-� Occupancy Type R3 Type Construction VN Zoning Distric
Legal Description L31, B1, HICKORY SHORES SECOND ADDITION . ; l
o 17051 KENNETT CURVE SW rl,)
Owner of Building
Contractor's Name & Address Site Address
'�R R. H O RT O N
ROBERT D. HUTCHINS City Planner
1,1, 11
Building Official .J G.
VI: 1 Date: 9. r// Date: 2 c'-. ))
(' " ! - PLACE . . ._ 1 ._ -- _ ' ' 1 tit)
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v Pitio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S M AND U.IIIITYcONWXION PERIVIIT
ain File
4 , Vtilite file
2 Pink City PERMIT NO. /3 /6 . 6,
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING office uw)
17051 116 6 . 7 - 7 6og (./
LEGAL DESCRIPTION (office use only)
LOT 3/ BLOCK / ADDITION di cr,0 /2- `1" /Yt3g-e...S .2. Ai) 6 PID
OWNER
(Name) (Phone)
(Address)
I BUILDER
(C ompany Name) D.R.HORTON, INC
Brooke Hareid bmhareid@drhorton.com
(Address)
20860 Kenbridge Court, Lakeville, MN 55044 (Phone) 952-985-7272
(Contact Name)
(Ph 952-985-7806
TYPE OF WORK 0 New Construction DDeck ['Porch DRe-Roofing DRe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtilay Connection
CODE: 1I.R.C. DI.B.C. 0 Misc. __. ,.
Type of Construdion: I II III IV V A B
PROJECT COST/VALUE $ 203, o 3 e
Occupancy Group: ABE F BI MR 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. 1 also certify that I am the owner or authorized agent for the
above-mentioned propel ty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can revoke this permit fornist cause Furthermore. I hereby agree that the city official or a designee may enter upon the property to per form needed inspections
X (7/-- /
BC605657 2/24 /2
....,
Signatur Contractor's License No. Date
Permit Valuation 1-e-71 1 00 0, - Park Support Fee # $
Permit Fee $ .51) SAC
Plan Check Fee $ t 1 ti'°k.65 Water Meter Size 50'; 1"; $
State Surcharge $ I b . c. • Cc) Pressure Reducer $ ( 1
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 1 Ci • 9 . Water Tower Fee # $
Mechanical Permit Fee $ t .t • C.° Builder's Deposit $
Sewer & Water Permit Fee $ C G2 • 5-° Other i z!.. ti e cr "" ciet e /tel l„) $ 5 5
Gas Fireplace Permit Fee $ 5 . 5.0 TOTAL DUE $ IG32.
11 . •
This A i , ca .ti 1..in s Your Building Permit 1 en pproved
/
IL . paid a S (. 3" Receip, No. 6 A/ Oil-
3, -- 2) -- , 0 By 1
ik - Date 3
1 IZ lj
Building Official ._..., Da e
This n to cern at th • leg c to i above application and accompanying d moats is in accordance with the Ctty Zoning Ordinance and may proceed as requested Tbts document
when signed b le Ci Pla e et totes a tempolary Certtficate of Zoning ()mph nee arid allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued / 411
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 fax (952) 447
4646 Dakota Street Prior Lake, MN 55372
41'.,,'-194 Date Rec'd
s CITY OF PRIOR L AKE
i ° ;{ �_�
�, SEWER AND WATER PERMIT
�NNES� /3 - / 6 w
L Green File
2 Yellow City l PERMIT NO / ? ( 7
.
3. Gold Applicant
rint and sign at bottom)
DRES ZONING (office use)
— 1 O S I-53 ) CAAAAA.4
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
APP ANT
aln O , S < e.• -1.•1.- - (Phone) Q'J 3-CS
(Address) (City) (Zip Code)
ontact Person) M I P /T' te-,1-- (Phone)
P • ANT SIGNATURE AAA " - Vq ,i 6 - / 3 '" 13
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC n 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 # f-N 0
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .50 81 &
TOTAL PERMIT FEE $
(Office Use Only)
`l
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine 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 P Rio CITY OF PRIOR LAKE Date Rec'd
° ' e HEATING /AIR CONDITIONING/FIREPLACE PERMIT 6,,,q,/3
v
°t / S° i. rink cit PERMIT NO. /3. (o
I 3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 1 70 n ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION P1D
OWNER
(N ame) . � �. (Phone) 6Y/P2-"-13.1. '•� 7 L
(Address) , • eo
APPLICANT `F EARTFF& HOME TECHNOLOGIES
(Name)
dba FIRESIDE HEARTH & HC�ne)
Lic 662656
(Address) 2700 FAIRVIEW AVENUE N
(Address) ROSEVILLE, MN 55113 (City) (Zip Code)
651.633.2561
(Contact Person) (Phone)
APPLICANT SIGNATURE A DATE 6- /2-"q3
APPLICANT PLEASE COMPLETE BELOW
6EW CONSTRUCTION ❑ REPLACEMENT ❑ 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 ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
❑ Mechanical into Required Side Yard Setbacks.
❑ Radiation Fireplaces with Box Additions or
Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑ Other Devices g
Require a Building Permit.
FIREPLACE MAKE AND MODEL IV • 5L70 !R -2, c ?ate 44--
FEE SCHEDULE
Industrial, Commercial & Multi- Family 1% 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 $ /DOD. ( (2 Building Permit #
The Minnesota Statutes § 326E3.148
HEATING PERMIT FEE $ ''SURCI IARGE" has been chanced For one
N ear effective
STATE SURCHARGE $ .50 late• 1, 2010, until June 30, 2011.
TOTAL PERMIT FEE $ The minimum surcharge fors "fixed fee" permit
(Office Use Only) is EC, beginning .Illy 1.2010
This Application Becomes Your Building Permit When Approved Paid PAID WITH
Pt No.
Date BUILDING PERMIT
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 t' It to Date Rec'd
O, . , '
4 . ‘ CITY OF PRIOR. LAKE PLUMBING PERM :T
, A'Nl so` `"
1. Bloc Mk ,
2. cola city P NO. 43 _ 066
1'1CaSC t 1, Yclkw Applicant W
,l type or print and sign at bottom)
ADDRESS ZONING (otrceusc)
LEGAL DESCRIPTION (office use only) — - -�
LOT BLOCK ADDITION 1 ?ID
OWNER
(Name) (Phone)
(Address)
APPLIC T { -1 -- -- -- _— —
(Name) •- ,.. > � - v.L., . ih di . "4- 144d} � � _ .....- ...._..__._.._. _ __._ �_ hone _ b?) _ '.) ' "1
-
(Address) _ � .� _ �.. > G{ IA ' l .._ __ - F) G) i. --1
( va t : ddress) (fifty) (Zip Code)
(Contact Person) . (Phone) Ile) • L' 5 ' k'
APPLICANT SIGNATURE fit ' _ , ' ' i ,f:f d,4 t /,; (A, -_ DATE 4 / IT 2 .013
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity - Type of Fixture
Bath 'flub with or without shower ! Rough - ins
Dishwasher _._ Water Heater - -
Floor Drain — .__.._ ...__.._..�.
___,_____ Water Softener
Lavatory (Bathroom Sink) - -_ Stand Pipe (Washing Maclaine) _
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall I3ackflow Assembly
Sinks I3acktlow Assemb� Test
Bar Sink Lawn Sp inkier
Water Closet Toilet Other
FEE SCHEDULE
Industrial, Commercial & Multi - family 1% of fob cost with a $49.50 minimum Residential, New Ono & Two-Family $149,51)
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 32613
2613.14tt 'st $ Building Permit f/
"SURCHARGE" has been changed fbr one £ Y V I
year effective PLUMBING PERMIT FEB $ V V
July 1, 2010, unto June 30, 2011. STATE SURCHARGE $ _ ..- .50 BUILDING � RA411-
The minimum surcharge for a "fixed fee" permit TOTAL, PERMIT FEE $
Is,S, beginning Jolly 1, 2010
This Application Beeonies Your Building Permit When Approved Paid Receipt No.
.::.:.:.:.:.... ..::.:..:.:....._.:.,•...:,,::. ,.:::..,;..;: Date..,:...,..,....,. ...........:....:,,...,:...:.By
DaDditta Official Date
,.
a: : ....,a ..x . , . . fl .. . idt}7(�nr yil;
�,Yn,..++. .ham ...,,......�::. .or.... J..,.. ,. yh - .. , .. . , _ . :43.. r`�F �/�
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(I
PRlp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v
AND UTILITY CONNECTION PERMIT 5-/`(-1.3-
M'N'NESOCV I. White File PERMIT NO.
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom) ` j
ADDRESS 1' lc, S" 13 , 1(mG . f 3 —1 (a 1 ( 3 -- / 6 J" ZONING (office use)
1 7 -tcl l /705 , (7 ) � 17
3 a5J— ��cn� .-(v,r v �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) t (--kb 5 (Phone)
(Address)
BUILDER
(Company Name) C2 " a^'1 ;c1 Elf C ef i_e tc,,,„ (Phone)
(Contact Name) J 4 l J) S,'H; a 1 I— 1 (Phone) C 5 /- l 8 8 6 (Address) 7S / 4 /' 'r 1 C-4 a 4-4 1,d - 5A AO( AU J 03
TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re- Roofing ['Re-Siding ['Lower Level Finish ❑ Fireplace
Addition ['Alteration ❑Utility Connection _
CODE: I.R.C. ❑ I.B.C. ❑ 1:1 Misc. t.--1 r� .5Pr. --. /6
Type of Construction: I II III IV V A B ° d
Occupancy Group: A B E F II I M (\ S U PROJECT COST /VALUE $ Z5
Division: 1 r9 3 4 ��,,'°° (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.erty and that all constru tion 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 4 permit fo just cause..! t thermore I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -- — ) - S = /9 1)
/ `'ature Contractor's License No. Date
a_
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 f PERMIT
Gas Fireplace Permit Fee $ TOTAL DUE thL A IP PER tl
This Applicatio i Becomes Your Building Permit When Approved Paid Receipt No.
Date By
i i2e /...../_
671/3
Building_ ' fticial 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
Builders Deposit
It? t
\\*.....taso....t City of Prior L ake
A $00,00 Builders DepOs11 is thclude•in the Building Permit fee. The Stilicle*DepeSit Is issued twaegurity to- insure compliance for a
Final Occupancy Permit. (It is not an escrow account) Ail exterior items including but not limited to grading, sodding, landscaping, tree
planting,,driveways, siding and painting shall be completed 180 days after the date he building permit is issued If the work is not complete
within the 180 day time period, the City , shall notify the applicant of tjo-litoration and the :applicant shall have 10 days to comply or the
81,600.09 builders deposit will be forfeited and the applicant will be-W[041er clean up or corrective work to rectify the situation.
A$500A00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year.
DATE: .„ 2--P-6 4 3
,
SITE ADDRESS: i 7051 KEW,/ TT (L, 'avg.: PERMIT #: /3 . /6
aoratetto BE MAILED TO": D.R. Horton, Inc Attn: ,) 6 LOT
20860 Kenbridge Court Suite 100
Lakeville, MN 55044
AU THORIZATION TO RELEASE
PLEASE 42 :RUMP Elt 5061 co
ynda S. en, Building Services An—L-7(nni"
1. KEEP STREETS CLEAN DURING CONSTRUCTION ---
Date Acct. 801.20204
2. KEEP EROSION CONTROL IN PLACE
3 TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE; OR $50.1100 WILL BE FORFEITED
6;7 4 , ______
MOTORS:
j ..K
ACCOUNT NO. 80
RETAINAGE FORFEITURE ACCOUNT NO, W211 AMOUNT: .
AUTHORIZE TO RELEASE: DATE',
JAFORMS‘BMIDERS DEPOSIT PORIYI.00C
pRioR LAKE DEPARTMENT OF
BUILDING AND IN SPECTION
b .
INSPECTION RECORD
SITE ADDRESS /705/ //1/A/EIT &)
NATURE OF WORK
USE OF BUILDING
PERMIT NO. /3, 0 !(q _ (o DATE ISSUED Z . ^
CONTRACTOR D. ,t. fad /L?V/� PHONE 9115. 72-12-
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
FOUNDATION (Prior To Backfill)
RADON RETARDER ) f u ..� . ,3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC
FRAMING . j 0- -73
INSULATION - - /q_
ELECTRICAL
PLUMBING Os UCei, /z>Ji-
HEATING _,�_�3
FIREPLACE
GAS LINE AIR TEST ''I�'ano�yrr.cr � ��2a -
sr
RADON RelititogRPIPIN .J
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH � � S-
._.t ► e)eN.J FINALS °W 672 „/. %
GRADING ( PRIOR TO SODDING)
BUILDING 5, -� /uG� X507
ELECTRICAL
PLUMBING
/fd
HEATING
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