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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT - e- " /S
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. Pints City CPERMIT NO/b
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3.Yellow Applicant •
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/ 77g .SdAoLir .�c 4g-rte
•
LEGAL DESCRIPTION(office use only)
LOT / BLOCK / ADDITION /1/4--C-6 Gt'i/ rf PID 2,S . 414. 06 t U
OWNER
(Name) (Phone)
(Address)
BUILDER
D.R. Horton, Inc. 952-985-7272
(CompanyompanyName) (Phone)
(Contact Name) Brooke Hareid (Phone) 952-985-7806
(Address) 20860 Kenbridge Court #100 Lakeville, MN 55044
TYPE OF WORK Slew Construction ODeck ❑Porch ORe-Roofing ORe-Siding *Lower Level Finish 0 Fireplace
❑Addition DAlteration ❑Utility Connection
CODE: JLR.C. DLB.C. ❑Misc:
Type of Construction: I II III IV V A B /¢
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ [t� 'I t")
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 't for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x --- BC6O5657 //0)-
Signature
0)-Signature Contractor's License No. Bate
Permit Valuation 3 Park Support Fee # $
Permit Fee $ I000. 00
74 75 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ ' t0 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 $ ammammasmiums TOTAL DUE $/30•
This Application Becomes Your Building Permit When Approved Paid I3 7� R ipt No. 51-6
Date /, z.r. 1s'"
Building Official 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
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
•
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /7745 atiAhedi8€- /o.
NATURE OF WORK LaWEN,,
USE OF BUILDING
PERMIT NO. -.51, ISSUED I. £&. .S
CONTRACTOR j).X. ffalreiXV PHONE_9851 7272.
.
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
rillegling.1111.11111111P
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING
1
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Thls 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