HomeMy WebLinkAboutBuilding Permit #03-0976
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
3494
WILLOW BEACH
03-0976
Re-Roof
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.3RAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
('l0SE F!lE
!/,ike Pe1l:.' ,;)~n, Build;IIY III.:>-pe-ttor'
DEe 'I; [U03
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOrl
(Please type or print and siJtll at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
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BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
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OWNER
(Name)
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(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc,
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(Phone)
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o New Construction
(Phone)
(Phone)
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ODeck
~-ROOfing
Date Rec' d
PERMIT NO. 0 3 - 9'0"
ZONING (office use)
PID~(7- IOto- ()() 3 -d
'-1'11- 7 '3 30
'-jq], - _~ ~)I ~J
YhN SS3r-<.
ORe-Siding
OLower Level Finish
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (excluding land) $ 4 5 5"0 . UC)
DPorch
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 permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enterupon...'propertytoperformneeded~~ections. .:10 JA 3/ 7<:""
X ~~~ r:Yl~ t;1' CA -J 7-~j--(}~
/ . Signature' Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~,~D6 ,-
$ 74 ~ '7 ~
$ I;;-~
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~/lo ---
t - ;;-~? /3
# $
# $
$
$
# $
# $
$
$
$ RJ to ----
Receipt No. L.} it' g' 0 t
By {'
-O~
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