HomeMy WebLinkAboutBuilding Permit #03-0373
DAlE lIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
3598
WILLOW BEACH
03-0373
Re-Roof
ADDRESS
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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
'LesE ~ILE
M;k~ rC.I\:.I';)VII, Ou;IJ;II~ I",:)fJ~(..lur'
Oct
t '~GG3
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
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3 . Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
%4'b l-J"I\\O..v '7Jl4LX\ l-f\ I V.C\O.f ~U, I/V\'~
LEGAL DESCRIPTION (office use only)
LOTS BLOCK I ADDITION
<
!L/~
1St-
OWNER
(Name) ~\ t..\t- f'J\oClr\.IJ S
(Address) ~St\<t ~\\'~~~rY\~. ~r,,'")' \JL1 \~
BUILDER
(Name)_~,tir.t l_~\ o..~of.^4
(Contact Name) ~...L...c2tf ~ /ll.y
(Address) \&-t060 ';)?;.-O f\ J \4, ~\ vV'(\Ovlrltt I ~ 5~L\-4-'1
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone)
Date Rec' d
PERMIT NO. 03- 3/?3
ZONING (office use)
~J5n
PID ()5- /r)'6- DO"-O
(Phone) 1V '2, ~~f1j".5(L/1<6
(Phone) ltl1 :-1LV1.... ~t)
DDeck
'PRe-ROOfing
OAlteration
ORe-Siding
PROJECTCOSTlVALUE (exc1udingland) $ lb.2fJO
OUtility Connection
o Porch
o Fireplace
OAddition
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
enter upo~e pr~erty to perform ~eeded inspections.
X 11. ~ 3~ 3.l:zJJo3
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
~~SJ?)- --
$ 7Lf.75'
$
$ I'~?
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
..
Paid If 7 fR.. --
Date ~ .q. -q I - O,j
# $
# $
$
$
# $
# $
$
$
$ 74>.00
J .J'l.l /J'S-
Receipt No. Yf - ,(/
By av.
(J-
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