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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE f`f"`-
AND UTILITY CONNECTION PERMIT
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1.white File
2. Pink City PERMIT NO. / _, 2,36
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3b to B,-oo Cr-E ,e7O P 7— f)U,'%
LEGAL DESCRIPTION(office use only)
LOT 7 BLOCK / ADDITION �a� S S ,T' PID 3—, 46s 0 01-0
OWNER
(Name) (Phone)
(Address)
BUILDER D.R. Horton, Inc. 952-985-7272
(Company Name) (Phone)
(Contact Name) _Brooke Hareid (Phone) 952-985-7806
It (Address) 20860 Kenbridge Court #100 Lakeville, MN 55044
TYPE OF WORK I'd Deck ['Porch ❑Re-Roofing ❑Re-Siding DLower Level Finish 0 Fireplace
DAddition UAlter.u.• ['Utility Connection / {{��
CODE: JI.R.C. ❑I.B.C. 1k) 'ja FT DJ-
E
Type of Construction: I II III 1V V AB // �y
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ fCJ� '!00.OD
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 property,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 this perfiait for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x BC605657 ./j1/i
. Signature Contractor's License No. ate
Permit Valuation 21 0 0 o _ C 0Park Support Fee # $
Permit Fee $ 73 75- SAC # $
Plan Check Fee $ 4 7 q 4 Water Meter Size 5/8"; 1"; $
State Surcharge $ f U Gl 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 DUE ,t,c?k l/ zZ, 14,E--- $ /`Z Z _ 6:,�j'
This Ap' 'a in Be ome Your Building Permit en pproved Paid 4- I22-(o5 Receipt No. r11.143
i; 1k ./�" �' ,y Date q. 'L3. t<4 By S"ntic.✓
Irl 4 _ ti 14-
,a,ing Official Date
This is to certify thaf the request in the above application and accompanying documen• is in ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the t ity�P: er constitutes a temporary Certificate of Zoning compli. ce. . allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. ' ) I —A41/'lto _ 4Z( )
i n.Dire Date i Special Conditions,if any
14 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
DEPARTMENT
F
P R I O R LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3490 B/11)Cie-EN
TYPE OF WORK DECK
USE OF BUILDING er ft"
PERMIT NO. /¢. Z.SS DATE ISSUED #: Z/. /**
BUILDER D. it. HOIr,aIy PHONE # HISS_ ��?Z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
IFoonNG I �
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FINAL
FOR ALL INSPECTIONS (952) 447-9850