HomeMy WebLinkAboutDemo Permit #99-0240
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
SCHEDULED
~ D/T~I
~
TIME
(~350 (?~<. /I-~
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
i1A 240
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
C\ 0 GASLlNE AIR TST
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6lt,
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55~41- ~5;1
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"'ORK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
447-9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White . File
2. Blue - City
3. Yellow - Applicant
Permit No. qq - z 40
DIRECTIONS
1. DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
3hl?1
BUILDING INFORMATION
7. SIZE OF STRUCTURE
8. NO. OF STORIES
Ve.....-
5!3-
9. TYPE OF CONSTRUCTION
BLOCK
PIO 2.5- oqc.. - on 3'-0
10. COMPLETION DATE
~~
~~R~~ A
I M ~ t... J (:, 35& ror
5. ARCHITECT (Name) To
6. CONTRACTOR(Nam~e;l~
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.
Furthermo e, I hereby agree that the city official or a designee may enter upon the pr perty to perform needed inspections.
x ~ ..3 JI
Signature Date
FOR ADMINISTRATIVE USE
METRO SAC UNIT DETERMINATION
CD
MATERIAL FILED WITH APPLICATION
~ Site Restoration Plan
LJ Utility Abandonment Plan
LJ Sewer Abandonment
USE OF BUILDING
S'FD
SITE RESTORATION PLAN
Accepted by
Rejected by
LJ Water Abandonment
Ll Electrical Abandonment
LJ Other
M
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
Other .................................................................. $
TOTAL CREDITS ........................ $
8se.a;
Occupancy Group A
B
E
II III
H
IV Q
TYPE OF CONSTRUCTION:
Division
2
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~~\
'0
4
IIOSC:l.~
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tOc.eo
Date 5 - -:)\ -1 '1
Issued by
Date
ify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
as equested.
(C~
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J
Date
Special Conditions if any
T
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Tho Conlo, of lho loko Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(xu C<ALLj 0
3~lq9
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
llo?:>9) PCGLK {(1~ 5~
Accepted
Accepted With Corrections
Denied
Reviewed By: 02-il ~_.
Comments:
J. MQ il.A ~ ~\ '^- 1t-cf;,I'eJIA- QcJ'V\. {,.'O I
G, IC-eVAov-<<.. Mud.. >t~ ~ stnaa.+ e~c k d ~
Date:
'3 - "3 l- cr i
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
I' I
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