HomeMy WebLinkAboutDemo 99-0176
4J? TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS \ Ll2 ~ 7 S~V1 ~
OWNER CONTR. f
PHONE NO. PERMIT NO. 1q- (70
. l
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~~(l--Nw ~67 5 l,\
~ ()..90, -
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o WORKSATIS~A RY, )ROCEED
o CORRECT AC 0 J\ND I'ROCEED
o CORRECT W . c:'A LL I :OR REINSPECTION BEFORE COVERING
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Inspector: , \ \ Owner/Contr:
..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White - File
2. Blue - City
3. Yellow - Applicant
.,..
Perm~ No. q f -/7b
DIRECTIONS
1. DATE
BUILDING INFORMATION
7. SIZE OF STRUCTURE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(PI~s1frin~r '!ype and sign at bottom).
1. " 1
~~Slrtf~R~~ Sc.eJ\, ~t"('L.a -r...P', t
3. LEGAL DESCRIPTION I
LOT"7.() BLOCK
'$- f<; -CJ 1
KlSD
33 - Q30-()37-D
8. NO. OF STORIES
9. TYPE OF CONSTRUCTION
10. COMPLETION DATE
PID
VV\IV~C\ q&f
ADDITION
. '37A ~ n bL I
4. OWNER (Name)
\..N ti..'.(hL
5. ARCHITECJT (Name)
Sv~bV
f
(Address)
'4~!.'1
(Address)
S" '10 dJ
~ '^~ -;;:'u'rt
(l el. No.)
(Tel. No.)
6.~~~OR(N(~e~~"''-1c1I~~ HO~d:reSs)GQ4 C(,J, 1'~f).' ~1.{~:;.NO~LfIt)O
I hereby certify I have furnished information 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 upon the property to perform needed inspections.
VY. () ~~ 3.... H:--cr'1
x
Signature
Date
FOR ADMINISTRATIVE USE
METRO SAC UNIT DETERMINATION
1
MATERIAL FILED WITH APPLICATION
LJ Site Restoration Plan
LJ Utility Abandonment Plan
USE OF BUILDING
~~ilV
~'jCCO. e~t3W dWCJ("'hvtwlt--,
./) Ll tw..fi) SITE RESTORATION PLAN
'\to'~. ~. f ( Accepted by
C;ot)o ... ~ k1. t 4f Rejected by
- (2Of!--
I II III IV OJ)
LJ Sewer Abandonment
LJ Water Abandonment
LJ Electrical Abandonment
LJ Other
CREDITS
Occupancy Group
H @ M
2 ~ 4 Sewer & Water Connec. Fee Cred~ .................. $
0-~~ Water Tower Fee CredO .....................................$
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By Date f -/(0 -79 Issued by Date
7i~ j~est in the abov~n~<)h~panylng documen~ is ~;; wu; ~ fninfrdinance and
Lff Plonnar Date Special Co",,'Ion, . ony ~
A
B
E
Park Ded. Cred~ ................................................ $
SAC Credit ......................................................... $
85D
TYPE OF CONSTRUCTION:
Division
lOSO
t 200
700
Other .................................................................. $ ~
TOTAL CREDITS ........................ $ ~~(J()