HomeMy WebLinkAboutDemo 99-0941
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CITY OF PRIOR LA. _ '
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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P/XIE;
OWNER
CONTR.
PHONE NO.
PERMIT 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
COMIIIENfS:
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OATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST ;()
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IwORK SATISFACTORY, PROCEED
o CORREC7fTCTI AND PROCEED
o CORRECT WO , ~ REINSPECTION BEFORE COVERING
Inspector: ~) Owner/Contr:
CALJ 447-9850.FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODI REQUIhMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V--. INSNOTI
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White - File
2. Blue - City
3. Yellow . Applicant
Permit No.
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DIRECTIONS
1. DATE
BUILDING INFORMATION
7. SltfOO~QR~ r
8. NO. OF STORI~
9. TYPE OF CONSTRUCTION
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10. COMPLETION DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
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2. SIT}' ADDRESS / ~ t2:!T
ILfq~.:l. Pr'tC.ce I?IJ'NI Cif2Ll~1 flil//',-". .
3. LEGAL DErCRIPTION ' Ie /5 C. )
LOT ! 2- BLOCK PID -.25 -otf7 - 0/3 -0
ADDITION_' >l'.. 4-d.')JJJ:: rr~ N JZ) ~ T W J J .D
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4. OW"EiJ~me) -f ^ '111 ').. (Address) ~ < H LL-: f' eL No.)
< n-t-/' ...j) 'l.J1:P ~ jf/M6 i) < 7'". G ) Ih7\Iyy.1'::1
5. AR HIT CT (Name) (ASdress)' - (Tel. No.)
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TO~Nam~ (Address) I ,() (Tel. No.)
t.-;''l ST, ~4.s I ~,t" ~1 We ~ l1.t..o /~ L, 0/ Y t) - .-cD< 2.-
I he by 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 proce . cordanc It submitted plans. I am aware that the building official can revoke this permit for just cause.
Furtherm eby agr . c' official or a designee may enter upon th~ Piperty ~ perform needed inspections.
x 7/1S- /9 9
t:/ or V I' ?~re ' Date
\,,/ FOR ADMINISTRATIVE USE
METRO SAC UNIT DETERMINATION
MATERIAL FILED WITH APPLICATION
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(J Site Restoration Plan
(J Utility Abandonment Plan
(J Sewer Abandonment
USE OF BUILDING
SFD
SITE RESTORATION PLAN
(J Water Abandonment
Accepted by
Rejected by
(J Electrical Abandonment
(J Other
Occupancy Group
CREDITS
Park Oed. Credit ................................................ $ 850.00
SAC Credit ......................................................... $ lO 5D. DO
Sewer & Water Connec. Fee Credit .................. $1 ~ 00 . ~ C
Water Tower Fee Credit .....................................$ 'tJ06 .~O
Other .................................................................. ~, .~ (:). rQo....-'
OJf'lfREDITS ......................~ $Pc;o .00
Issued by /<.U N., Date -1/1-1It1
Th~ 10 certify Ihallhe requesl in the above and accompanying documents is in accordance wilh Ihe City Zoning Ordinance and
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ty Planner Date Special Conditions if any
II
III
IV
V
TYPE OF CONSTRUCTION:
A
B
E
H
R
M
Division
2
3
4
Th~tion beco s your
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Date 8 -5 -cz I
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White - Building
Canary - Engineering
Pink - Planning
Tho Con tor 01 tho uk< Country
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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· ,(.I (/ (/ (.::~ ,/// Y' / ( .' /-' ~r (/ 1<......
Accepted _
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Accepted With Corrections
Denied
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Date:
R/S!77
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Reviewed By:
Comments:
"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."
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The Cr-nfrr or the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted -7--
Accepted With Corrections
Denied ............
Reviewed By: (,! ~
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Date:
8-547
Comments:
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2. Qo.Jl \::or \""c:,~{\'-OY\. w~ SIte t\~ l-e~~Qc..Q
liThe 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,"
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