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.--'% CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
\ . 13
\i- AND UTILITY CONNECTION PERMIT q
Q v: ,,.._ y 61 I
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Es0 1.. ; ror go
r c i t PERMIT NO. /3 o
,
3 'know Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (cake use)
56 1,--e%'6..k&A/ Goa,e-7 PV5 b
LEGAL DESCRIPTION (office use only)
LOT 6 BLOCK I ADDITION kit C4e-0112-1' 5 tiope 5 5 ofil ND 075- ii-e5- cog-b
OWNER i
(Name) ii i 11 "Ple-1P 41 (Phone)
(Address) ., .
- . .
BUILDER
(Company Name) D.R.HORTON 952-985-7272 , INC . (Phone)
(c omet N Brooke Hareid bmhareid@drhorton.com ( 952-985-7806 ....
. ,
(Address) 20860 Kenbridge Court, Lakeville, MN 55044
TYPE OE WORK 1 Peck Men* Dat,Ruating (]Re-sidirig mowerlAttel finish 0 Ntepiace
LiAddition QMter ElUtility Connettion
CODE: WILII.C. DaLc. El Mae.
Type of Constmetion: I rt u 1 r v v A. B matzo' stAwit $ co. 0 00. 0 0
OccupancyGrovin A B E P II I M R S U i
(exciltding bud)
DiYisiont 1 2 3 4 5
1 1 hereby amity that }Itatta funnshettlnformation on thivApplicatimendlleb is to Mutest ot my kinneledge tote titt. omit lalm cat* that t am the WWI or authorized ka the
abovemenuonedPeVenY And Alga ,costruction wilt confunt to aft esiviing.statc and local laws and wilt piloted in acoadance with subMitted plain I silt are that tlic building
official can revoke thispermit forma cause Ptutbetatom film* alltee that (*ear offidid era ftiguee Mr/Inter titott Ate ProPelt, le Pmfelei eeedetitelieeteets
BC605657 87 V/5
7 : 331t33it COMinittOet license NO, ide
Permit Valuation Joe,o,ao ' Pa* SVP° # $
Permit Fee $ inn. t r SAC # $
Plan Checii Pee $
,( 76 mite*. Meter Site 5//t"; 1"; $
State Surcharge $
ir 1-0 Pressure Reduces $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee it $
Mechanical Pewit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL MR 7 - 6 . / - 43 $ /9 if
- ;74-YLe( 4 -
This Appllea , fi . , , ur Building Pemdt Wit A ■ oved
Paid /174( Receipt No.
3
Date ,,,I.,( By
Li .;•rk i
ant ding Odle t• Date
This is to certify th 11 c t . ' e above ap ' 1..3 and accompanying deco nts is accordance with the City Zoning Ordinance and may proceed as requested. Tins docutnent
when signed by t . ity P i . sot . Inpormy c . of Zoning c, . haw - nd atm construction to cornrow. Before occupancy. a Ccinficair of Occupancy must be
issued / ' 4 4Q '
() (
Planning Director r ate Special Conditions. if any
2 ‘ tour notice for all inspections (952) 447-9850, fax (952) 447.4245
4646 Dakota Street Prior Lake, MN 55372
. r Rio OF PRIOR LAKE Date Rec'd
HEATING /AIR CONDITIONING/FIREPLACE PERMIT
Q
411 scrtt` I. Pink File PERMIT NO .
2. Green City j 3 0 9 y/�
0 0
3. Yellow Applicant V
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
31e I & . 61A40-4-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Name) AI YL.
(Name) 01 (Phone) 1117%5. 413'224.1
(Address) 1%-,6 o y sinvi-n 5540
(Address) (City) (Zip Code)
(Contact Person) ��'� -a ( Phone ) 10- 203- 411 V
APPLICANT SIGNATURE A/ &L4 t ( DATE IP r 7 013
APPLICANT PLEASE COMPLETE BELOW •
ONEW CONSTRUCTION O REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Mr Conditioner
Warm Air Plants O Steam Units and Fireplaces Cannot Encroach
Gra vity
0 Hot Water into Required Side Yard Setbacks.
Mechanical 0 Radiation Fireplaces with Box Additions or
it Conditioning ❑ Special Devices
Vent. System El 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 & 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 #
PAID WITH
HEATING PERMIT FEE $ R BUILDING PERMIT
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use only)
This Application Becomes Your Building Permit When Approved . Paid ' Receipt No.
Date . By
Buntline Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE Etj DING A D NF
3PECTION
INSPECTION
RECORD
SITE ADDRESS ? G�� - �� kd�1 CY
TYPE OF WORK
USE OF BUILDING tz-
PERMIT NO. DATE ISSUE)
BUILDER tj_ _ PHONE # ' 5 915 -7666"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 1 P i k . 1 W4-lo - t3
PLACE NO CONCRETE UNTIL ABOVE HAS/BEEN SIGNED
I�■�
1 1
FINAL te /bli ,
FOR ALL INSPECTIONS (952) 447 -9850